Individual
NICHOLAUS JAMES SCARFO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
240 W THOMAS RD STE 400, PHOENIX, AZ 85013-4407
(602) 406-6262
Mailing address
240 W THOMAS RD # 400, PHOENIX, AZ 85013-4407
(602) 406-6262
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
8725
AZ
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/05/2021
Last updated
02/10/2022
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