Gregory Scallon in Phoenix - Physician Assistant
Gregory Scallon - NPI 1891722302
Gregory Scallon is a Physician Assistant in Phoenix, Arizona. Gregory Scallon practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Gregory Scallon is 1891722302. The last update date is 2018-01-16.
Gregory Scallon's current location address is 3411 N 5th Ave Ste 209, Phoenix, Arizona. You can contact this provider via phone number 6027890344 and fax number 6027898389. The mailing address for Gregory Scallon is 3411 N 5th Ave Ste 209, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregory Scallon |
|---|---|
| Address | 3411 N 5th Ave Ste 209, Phoenix, Arizona |
| Phone Number | 6027890344 |
| Fax Number | 6027898389 |
| Sole Proprietor | N |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1891722302 |
|---|---|
| Provider Enumeration Date | 2006-06-28 |
| Last Updated Date | 2018-01-16 |
Provider Mailing Address Detail
| Address | 3411 N 5th Ave Ste 209 |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850133812 |
| Phone Number | 6027890344 |
| Fax Number | 6027898389 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 2563 |
|
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 634370 | AZ | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Gregory Scallon by the Centers for Medicare & Medicaid Services (CMS)?
The Gregory Scallon has been assigned the NPI (National Provider Identifier) 1891722302. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Gregory Scallon located?
The Gregory Scallon is located at 3411 N 5Th Ave Ste 209, Phoenix, AZ 850133812.
What is Gregory Scallon's specialized field of practice, and what is the corresponding taxonomy classification code?
The Gregory Scallon's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1891722302 to Gregory Scallon?
The Centers for Medicare & Medicaid Services assigned the 1891722302 to Gregory Scallon on 2006-06-28.
As of what date was the information pertaining to Gregory Scallon, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Gregory Scallon, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2018-01-16.