Scott Hanson, PAC

NPI #1306248596 in Pinetop, Arizona

Provider Information

NPI Number: 1306248596
Entity Type: Individual
Name: Scott Hanson, PAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PAC
Enumeration Date: Sep 19, 2014
Last Updated: Sep 19, 2014

Practice Location

Address: 728 E WHITE MOUNTAIN BLVD
City: Pinetop
State: Arizona
ZIP Code: 85935
Phone: (928) 367-6688

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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Organizations

Provider Name	Specialty	City
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