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Individual
MR. SCOTT E. CACKLER II
Active
Individual
MR. SCOTT E. CACKLER II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
50.002816
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0069232
—
OH
Enumeration date
01/30/2008
Last updated
01/25/2022
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