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Individual
DR. SCOTT GARY SCHMIDT
Active
Individual
DR. SCOTT GARY SCHMIDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC002860L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0048418000
KEYSTONE
PA
01
—
083391
BLUE SHIELD
PA
01
—
1053037
ASH
PA
01
—
11026419
CAQH
PA
01
—
2176800
AETNA HMO
PA
01
—
4349742
AETNA
PA
01
—
P938718
OXFORD
PA
Enumeration date
11/01/2006
Last updated
07/08/2007
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