Individual provider · Type 1 NPI
Scott Kevin Ishmael, PA-C
Medical Physician Assistant · Folsom, CA
NPI number
1073701322
Active
Practice location
1350 Broadstone Pkwy, Appt 3622
Folsom, CA 95630-8478
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA18592 (CA) |
Medical Physician Assistant: Definition to come...
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About NPI 1073701322
Scott Kevin Ishmael, PA-C's National Provider Identifier is 1073701322, issued on Oct 11, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Folsom, CA. The record was last updated on Oct 11, 2007.