Individual
RONILEE SCOFIELD
Active
Individual
RONILEE SCOFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA17810
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DD559Z
MEDICARE PTAN
CA
01
—
PA17810
PA LICENSE
CA
Enumeration date
05/25/2006
Last updated
11/03/2011
Update your record
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