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Individual
SCOTT WYANT
Active
Individual
SCOTT WYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0427
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
310160
—
AZ
01
—
AZ0194310
BCBS
AZ
01
—
P00275401
MEDICARE RAILROAD
AZ
Enumeration date
03/29/2006
Last updated
10/18/2022
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