Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SCOTT DETLOFF, PA-C
ActiveSCOTT DETLOFF, PA-C is a Surgical Physician Assistant healthcare provider located in WOODSTOCK, Illinois. NPI 1639651060 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · WOODSTOCK, IL
Registration Details
- NPI Number
- 1639651060
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 1, 2018 (7.9832057331659 yrs)
- Last Updated
- Nov 9, 2023
- License
-
085-006832 (IL)
Practice Information
- Address
-
2000 LAKE AVEWOODSTOCK, IL, 600987401Browse IL providers · Browse ZIP 60098
- Phone
- 8153377100
- Fax
- 8153374793
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.