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Organization
TIMOTHY J SCOTT DPM PC
Active
Organization
TIMOTHY J SCOTT DPM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY J SCOTT DPM (DOCTOR)
(814) 226-0717
Entity
Organization
Contact information
Practice address
22905 ROUTE 68, CLARION, PA 16214-8557
(814) 226-0717
(814) 226-5336
Mailing address
22905 ROUTE 68, CLARION, PA 16214-8557
(814) 226-0717
(814) 226-5336
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC004077L
PA
213ES0103X
Foot & Ankle Surgery Podiatrist
SC004077L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00162263100008
—
PA
05
—
0016226310007
—
PA
01
—
136177
MEDICARE ID TYPE UNSPECIFIED
PA
01
—
4748580001
DME
PA
01
—
480027239
RAILROAD MEDICARE
PA
Enumeration date
06/28/2006
Last updated
01/19/2012
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