SCOTT S MIRICK

LEBANON, NH
NPI1780138495
Former NameJOHN SCOTT SHADDY
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: NH  1179)
Enumeration Date2016-08-10
Last Update Date2019-09-18
Business Address
SCOTT S MIRICK PA
1 MEDICAL CENTER DR
LEBANON, NH 03756-0001
Phone number: 603-650-8537
Mailing Address
SCOTT S MIRICK PA
1 MEDICAL CENTER DR
LEBANON, NH 03756-0001
Phone number:
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