Individual
DIANE M SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
126 E MAIN ST, SUITE D, PAYSON, AZ 85541-5488
(928) 472-5260
(928) 472-3444
Mailing address
PO BOX 859, PAYSON, AZ 85547-0859
(928) 472-5260
(928) 472-3444
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2192
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
714487
—
AZ
Enumeration date
03/24/2006
Last updated
12/31/2014
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