Individual
TIMOTHY PHILIP SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
26750 PROVIDENCE PKWY, SUITE 200, NOVI, MI 48374-1211
(866) 974-2673
(866) 939-2673
Mailing address
18444 N 25TH AVE, SUITE 310, PHOENIX, AZ 85023-1261
(866) 974-2673
(866) 939-2673
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
5601005255
MI
363AM0700X
Medical Physician Assistant
5601005255
MI
363AS0400X
Surgical Physician Assistant
Primary
5601005255
MI
Other
Enumeration date
06/04/2008
Last updated
01/20/2014
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