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Individual

DR. MICHAEL COLLINS SCANNELL

Active
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Individual

DR. MICHAEL COLLINS SCANNELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G75151
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
G75151
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G751510
BLUE SHIELD OF CA
CA
05
—
00G751510
—
CA
05
—
G751510
—
CA
01
—
P00295929
RAILROAD MEDICARE
CA
Enumeration date
12/15/2005
Last updated
12/13/2016
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