Individual
SCOTT ANDREW TABISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSPAS, MPH, PA-C
Contact information
Practice address
280 W MACARTHUR BLVD, OAKLAND, CA 94611-5642
(801) 916-5309
Mailing address
280 W MACARTHUR BLVD, OAKLAND, CA 94611-5642
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA21687
CA
Other
Enumeration date
08/02/2011
Last updated
12/30/2021
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