NPI | 1346824703 |
---|---|
Other Name | TREY SCOTT |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: WA PA61501433) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2021-05-11 |
Last Update Date | 2024-09-27 |