# SCOTT CARLIS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1558783639
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | P89605 | NY | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | PO60666690 | WA | Yes |

## Other

- **Enumeration date:** 01/09/2014
- **Last updated:** 04/24/2017