Individual provider · Type 1 NPI

Michael D. Scott, PA-C

Surgical Physician Assistant · Cheyenne, WY

NPI number 1114007028 Active

Practice location

4017 Rawlins St
Cheyenne, WY 82001-1800

Call (307) 635-2562 Map

Fax (307) 637-2867

Mailing address

4136B Laramie Street
Cheyenne, WY 82001-1969

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA208 (WY)
Surgical Physician Assistant 363AS0400XPA-2238 (CO)
Surgical Physician Assistant Primary 363AS0400X208 (WY)

Surgical Physician Assistant: Definition to come...

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About NPI 1114007028

Michael D. Scott, PA-C's National Provider Identifier is 1114007028, issued on Oct 16, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Cheyenne, WY. The record was last updated on Nov 7, 2022.