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Individual

ZACHARY SCOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
562 E CAMPBELL AVE, GILBERT, AZ 85234-4612
(480) 226-4622
Mailing address
570 LEXINGTON AVE FL 9, NEW YORK, NY 10022-6710

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/06/2020
Last updated
07/13/2020
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