NPI Profile for ANTHONY SCOCCOLO in HENDERSON, NV.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Medical |
363AM0700X | 97 | Physician Assistant | |
Physician Assistant |
363A00000X | 97 | Physician Assistant | |
Surgical |
363AS0400X | 97 | Physician Assistant |
| NPI Number | 1932915717 |
|
| Status | Active | |
| Credentials | PHYSICIAN ASSISTANT | |
| Entity | Individual | |
| Enumeration date | 12/06/2024 | |
| Last updated | 04/09/2026 - About 2 months ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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ANTHONY SCOCCOLO
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