Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Orthopedic |
163WX0800X |
| NPI Number | 1467820449 |
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| LBN Legal business name | SCOTT ORTHOPEDIC CENTER | ||||||||||||||||
| Authorized official | DAVID PROCTOR - (CEO) | ||||||||||||||||
| Entity | Organization | ||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||
| Enumeration date | 09/09/2015 | ||||||||||||||||
| Last updated | 09/09/2015 - About 11 years ago | ||||||||||||||||
| Identifiers |
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