MR. Scott Matthew Light, P.A.-C.
NPI #1679653745 in Prineville, Oregon
Provider Information
- NPI Number
- 1679653745
- Entity Type
- Individual
- Name
- MR. Scott Matthew Light, P.A.-C.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- P.A.-C.
- Enumeration Date
- Oct 16, 2006
- Last Updated
- Feb 23, 2012
Practice Location
- Address
- 1251 NE ELM ST
- Address 2
- SUITE 1A
- City
- Prineville
- State
- Oregon
- ZIP Code
- 97754-1206
- Phone
- (541) 447-1680
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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