Individual
DANIELLE SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1300 N MARKET ST, SPARTA, IL 62286-1048
(618) 443-4138
(618) 443-3685
Mailing address
1300 N MARKET ST, SPARTA, IL 62286-1048
(618) 443-4138
(618) 443-3685
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
05/24/2019
Last updated
05/25/2023
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