Individual provider · Type 1 NPI

Scott S. Mirick, PA

Surgical Physician Assistant · Lebanon, NH

NPI number 1780138495 Active

Practice location

1 Medical Center Dr
Lebanon, NH 03756-0001

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X1179 (NH)

Surgical Physician Assistant: Definition to come...

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About NPI 1780138495

Scott S. Mirick, PA's National Provider Identifier is 1780138495, issued on Aug 10, 2016. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Lebanon, NH. The record was last updated on Sep 18, 2019.