Individual
MIKA SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1068 W BALTIMORE PIKE, MEDIA, PA 19063-5104
(610) 891-3214
Mailing address
2406 WINDFIELD CT, GLEN MILLS, PA 19342-8139
(610) 558-0910
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
21091
CA
363A00000X
Physician Assistant
OA000938
PA
363AM0700X
Medical Physician Assistant
Primary
MAO53052
PA
Other
Enumeration date
05/15/2006
Last updated
09/13/2021
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