Peter Andrew Scanlon, PA-C
Physician Assistant in Phoenix, AZ. Individual provider (NPI-1).
NPI number1891242012
StatusActive
Last updated in NPPESSep 6, 2016
Details
- NPI
- 1891242012
- Entity type
- Individual (NPI-1)
- Name
- Mr. Peter Andrew Scanlon
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 6, 2016
- Last updated
- Sep 6, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | AZ | Yes |
Practice location
3023 E Sells DrPhoenix, AZ 85016-5845
Phone 623-217-1015
Mailing address
3023 E Sells DrPhoenix, AZ 85016-5845
Phone 623-217-1015
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