NPI | 1164169165 |
---|---|
Former Name | ADAM SCOFIELD |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MA PA8865) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9120215) |
Enumeration Date | 2022-05-19 |
Last Update Date | 2025-09-05 |