Individual
JARED L. SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2081 W US HIGHWAY 70, THATCHER, AZ 85552-5445
(928) 428-2413
Mailing address
4243 W 12TH ST, THATCHER, AZ 85552-5312
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5463
AZ
Other
Enumeration date
09/03/2013
Last updated
09/03/2013
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