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Scott Kevin Ishmael, PA-C
Medical Physician Assistant in Folsom, California
NPI 1073701322

Scott Kevin Ishmael is a Medical Physician Assistant based in Folsom, CA and is specialized in Medical. Scott Kevin Ishmael practices in Folsom, CA and has the professional credentials of PA-C. The NPI Number for Scott Kevin Ishmael is 1073701322 and holds a License No. PA18592 (California).

The current practice location address for Scott Kevin Ishmael is 1350 Broadstone Pkwy, Folsom, CA and can be reached out via phone at 530-409-5755.

Location: 1350 Broadstone Pkwy, Folsom, CA, 95630-8478
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073701322
Provider Name
Scott Kevin Ishmael
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
1350 Broadstone Pkwy, Folsom, CA, 95630-8478
Phone Number
530-409-5755
Fax Number
Provider Enumeration Date
10/11/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1350 Broadstone Pkwy
City
Folsom
State
California
Zip
95630-8478
Phone Number
530-409-5755
Fax Number
person
Provider Business Mailing Address Details
Address
1350 Broadstone Pkwy
City
Folsom
State
California
Zip
95630-8478
Phone Number
530-409-5755
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA18592 (California)
Definition
Definition to come...
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