Individual
MARK R SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
118 W 5TH ST, SAFFORD, AZ 85546-2727
(928) 348-7100
(928) 424-2112
Mailing address
118 W 5TH ST, SAFFORD, AZ 85546-2727
(928) 348-7100
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2319
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
416653
—
AZ
Enumeration date
07/20/2006
Last updated
08/12/2013
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