Individual
GARY L. SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2030 STRINGTOWN RD, GROVE CITY, OH 43123-3993
(614) 883-0160
(614) 883-0157
Mailing address
335 GLESSNER AVE, MANSFIELD, OH 44903-2269
(419) 520-2495
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50004518
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0152488
—
OH
Enumeration date
09/08/2015
Last updated
10/13/2016
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