Individual
MR. SCOTT STEPHEN MINNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2025 MORSE AVE, SACRAMENTO, CA 95825-2115
(916) 973-7696
Mailing address
PO BOX 311, FIDDLETOWN, CA 95629-0311
(209) 245-5559
(209) 245-5559
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2712
CA
Other
Enumeration date
11/13/2006
Last updated
01/03/2022
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