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Individual

SCOTT B PALMER

Active
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Individual

SCOTT B PALMER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036074836
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036074836
—
IL
01
—
110027669
RAILROAD MEDICARE
—
01
—
31603295
BCBS
—
Enumeration date
07/13/2006
Last updated
11/18/2010
About Stedi
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