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Individual
BRIAN PAUL SCOTTOLINE
Active
Individual
BRIAN PAUL SCOTTOLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
A66414
CA
2080N0001X
Neonatal-Perinatal Medicine Physician
160149
OR
2080N0001X
Neonatal-Perinatal Medicine Physician
A66414
CA
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
MD60211161
WA
2080P0203X
Pediatric Critical Care Medicine Physician
A66414
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A664140
—
CA
Enumeration date
06/27/2006
Last updated
12/03/2021
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