Individual
CHRISTINA S SCANLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
118 9TH AVE N, TWIN FALLS, ID 83301-6352
(208) 537-7800
Mailing address
1834 W 34TH ST, ERIE, PA 16508-2110
(801) 419-2079
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA064678
PA
363A00000X
Physician Assistant
Primary
PA-1009
ID
Other
Enumeration date
10/09/2012
Last updated
12/30/2024
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