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Individual
JOHN RUSSELL SCOTT
Active
Individual
JOHN RUSSELL SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
7179
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
071790
—
SC
Enumeration date
05/26/2006
Last updated
02/23/2009
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