Individual
SCOTT HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
728 E WHITE MOUNTAIN BLVD, PINETOP, AZ 85935
(928) 367-6688
(928) 367-4916
Mailing address
PO BOX 2690, PINETOP, AZ 85935-2690
(928) 367-6688
(928) 367-4916
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5806
AZ
Other
Enumeration date
09/19/2014
Last updated
09/19/2014
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