MR. Scott Alan Lange, PA
NPI #1104801315 in Provo, Utah
Provider Information
- NPI Number
- 1104801315
- Entity Type
- Individual
- Name
- MR. Scott Alan Lange, PA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Surgical
- Credential
- PA
- Enumeration Date
- Dec 9, 2005
- Last Updated
- Apr 8, 2022
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Surgical — Surgical |
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