Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | 006115 | AZ |
NPI | 1063687051 |
---|---|
Provider Name | Dr. Scott A Salmon II |
First Address | Mesa, AZ 85206-4801 |
Second Address | Mesa, AZ 85206-4801 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/04/2008 |
Last Update Date | 08/08/2013 |