Provider Demographics
NPI:1811559800
Name:SAROFF, COLTON JAMES (PA-C)
Entity Type:Individual
Prefix:
First Name:COLTON
Middle Name:JAMES
Last Name:SAROFF
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:736 N MAYER DR
Mailing Address - Street 2:
Mailing Address - City:GREENFIELD
Mailing Address - State:IN
Mailing Address - Zip Code:46140-7220
Mailing Address - Country:US
Mailing Address - Phone:219-308-6536
Mailing Address - Fax:
Practice Address - Street 1:7730 E MCDOWELL RD STE 101
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85257-3772
Practice Address - Country:US
Practice Address - Phone:480-699-3314
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-01
Last Update Date:2021-10-09
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant