Individual provider · Type 1 NPI

Scott Stegall, PA-C

Medical Physician Assistant · Tyler, TX

NPI number 1356323034 Active

Practice location

5414 S Broadway Ave
Tyler, TX 75703-1335

Fax (903) 581-1638

Mailing address

PO Box 841656
Dallas, TX 75284-1656

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA01268 (TX)

Medical Physician Assistant: Definition to come...

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About NPI 1356323034

Scott Stegall, PA-C's National Provider Identifier is 1356323034, issued on Nov 17, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Tyler, TX. The record was last updated on Jul 17, 2017.