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Contact Information

SCOTT HANSON PAC
728 E WHITE MOUNTAIN BLVD STE A
PINETOP, AZ85935
 Phone: 928-367-6688
 Fax: 928-367-4916
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for SCOTT HANSON PAC

NPI Number 1033511464
LBN Legal business name SCOTT HANSON PAC
Authorized official THOMAS PAXMAN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/17/2014
Last updated 09/17/2014 - About 12 years ago
Identifiers
AZ License # 5806
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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