JACOB SCOTT GERVAIS

PHOENIX, AZ
NPI1548999766
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: AZ  9864)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2022-06-06
Last Update Date2024-02-16
Business Address
JACOB SCOTT GERVAIS PA-C
1331 N 7TH ST STE 405
PHOENIX, AZ 85006-2754
Phone number: 602-254-3151
Mailing Address
JACOB SCOTT GERVAIS PA-C
18444 N 25TH AVE STE 310
PHOENIX, AZ 85023-1266
Phone number: 866-974-2673