person
Mr. Scott Alan Lange, PA
Surgical Physician Assistant in Provo, Utah
NPI 1104801315

Scott Alan Lange is a Surgical Physician Assistant based in Salt Lake City, UT and is specialized in Surgical. Scott Alan Lange practices in Provo, UT and has the professional credentials of PA. The NPI Number for Scott Alan Lange is 1104801315 and holds a License No. PA00880 (Utah).

The current practice location address for Scott Alan Lange is 1134 N 500 W, Provo, UT and can be reached out via phone at 801-357-7081.

Location: 1134 N 500 W, Provo, UT, 84127-0128
person
Provider Profile Details
NPI Number
1104801315
Provider Name
Scott Alan Lange
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
1134 N 500 W, Provo, UT, 84127-0128
Phone Number
801-357-7081
Fax Number
Provider Enumeration Date
12/09/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1134 N 500 W
City
State
Zip
84604-3383
Phone Number
801-357-7081
Fax Number
person
Provider Business Mailing Address Details
Address
1134 N 500 W
City
State
Zip
84604-3383
Phone Number
801-357-7081
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA00880 (Oregon)
Definition
Definition to come...
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