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Scot K Mohr, PHYSICIAN ASSISTNAT Valid NPI

Individual provider · Physician Assistant · Fort Lewis, WA

NPI
1710081351
Type
Individual (Type 1)
Primary specialty
Physician Assistant
Specialty group
Physician Assistants & Advanced Practice Nursing Providers
Taxonomy code
363A00000X
License number
PA10003901 (WA)
Sex
Male
Sole proprietor
No
Enumerated
2006-09-12
Last updated
2018-05-01
Practice location
Bldg R3722, Stryker Ave., 4th Bn, 160th Soar, Aid Station, Mail Stop 23b
Fort Lewis, WA 98433
(253) 966-6791

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