Individual
SCOTT C WASEM I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C
Contact information
Practice address
820 S AKERS ST, #220, VISALIA, CA 93277-8346
(559) 733-3346
(559) 733-4475
Mailing address
PO BOX 2632, VISALIA, CA 93279-2632
(559) 733-3346
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA14423
CA
Other
Enumeration date
12/19/2006
Last updated
12/30/2021
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