Individual
ANTHONY SCOCCOLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
363A00000X
Physician Assistant
PA3437
NV
363AM0700X
Medical Physician Assistant
Primary
PA3437
NV
363AS0400X
Surgical Physician Assistant
PA3437
NV
Other
Enumeration date
12/06/2024
Last updated
06/29/2026
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