Individual
MR. PETER ANDREW SCANLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3023 E SELLS DR, PHOENIX, AZ 85016-5845
(623) 217-1015
Mailing address
3023 E SELLS DR, PHOENIX, AZ 85016-5845
(623) 217-1015
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
AZ
Other
Enumeration date
09/06/2016
Last updated
09/06/2016
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