Doctor Name: | MR. SCOTT SCHAUSS |
NPI Number: | 1104254549 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA-C |
License Number: | 9032330463 |
Business Practice Address: | 3723 W. 12600 S. Suite 480 Riverton Sleep Disorders Center Riverton, UT - 84605 |
Business Phone Number: | 8012854870 |
Business Fax Number: | |
Mailing Address: | 5178 W Burntside Ave, SOUTH JORDAN |
State: | UT |
Postal Code: | 840096125 |
Phone Number: | 8127607217 |
Fax Number: | |
NPI Enumeration Date: | 10/22/2013 |
NPI Last Update Date: | 04/19/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 9032330463 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |