Organization
KINGMAN EMERGENCY ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN E SCOTT DO (VICE PRESIDENT)
(928) 230-3653
Entity
Organization
Contact information
Practice address
3629 STOCKTON HILL RD, KINGMAN, AZ 86409-3055
(928) 757-0645
(386) 274-7801
Mailing address
PO BOX 11577, DAYTONA BEACH, FL 32120-1577
(386) 274-7800
(386) 274-7801
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
04/29/2013
Last updated
04/29/2013
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