Individual
SCOTT E LIGHTFOOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5810 W BEVERLY LN, GLENDALE, AZ 85306-1800
(623) 312-3000
(623) 312-3060
Mailing address
PO BOX 6423, CHANDLER, AZ 85246-6423
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
3049
AZ
Other
Enumeration date
05/26/2006
Last updated
11/22/2022
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