Individual
SCOTT P. STIMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
21 LOCUST ST, RENO, NV 89502-1316
(775) 982-5270
(775) 982-5288
Mailing address
780 KUENZLI ST, STE 202, RENO, NV 89502-0845
(775) 982-4590
(775) 982-4595
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1028
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11934116
CAQH
—
05
—
1982751137
—
NV
Enumeration date
01/03/2007
Last updated
05/22/2013
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