Individual provider · Type 1 NPI

Jeremy D. Platt, P.A.-C

Surgical Physician Assistant · Prescott, AZ

NPI number 1720028095 Active

Practice location

1001 Willow Creek Rd Ste 3300
Prescott, AZ 86301-1614

Fax (928) 458-2135

Mailing address

PO Box 10880
Prescott, AZ 86304-0880

Other practice locations

  • 1001 Willow Creek Rd Ste 3100, Prescott, AZ 86301-1614 · (928) 445-4818

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X3348 (AZ)
Medical Physician Assistant 363AM0700X3348 (AZ)

Surgical Physician Assistant: Definition to come...

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About NPI 1720028095

Jeremy D. Platt, P.A.-C's National Provider Identifier is 1720028095, issued on Jun 7, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Prescott, AZ. The record was last updated on Feb 10, 2025.