Individual
MR. GREGORY JAMES SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
PAC0309
ND
363AS0400X
Surgical Physician Assistant
Primary
2097-023
WI
Other
Enumeration date
07/25/2006
Last updated
11/17/2022
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