Doctor Name: | MR. GARY ALLEN SCOTT |
NPI Number: | 1558389841 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | FNP |
License Number: | RN 320903 |
Business Practice Address: | 2280 Sunset Dr Suite D Los Osos, CA - 934024007 |
Business Phone Number: | 8055280650 |
Business Fax Number: | 8055281690 |
Mailing Address: | 2605 Greenwood Ave, MORRO BAY |
State: | CA |
Postal Code: | 934421546 |
Phone Number: | 8057721506 |
Fax Number: | |
NPI Enumeration Date: | 07/17/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | RN 320903 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |