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Organization
DWIGHT E SCOTT DPM INC
Active
Organization
DWIGHT E SCOTT DPM INC
Active
Other names
Dwight E Scott DPM
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DWIGHT EUGENE SCOTT DPM (OWNER PRESIDENT)
(216) 426-9314
Entity
Organization
Contact information
Practice address
6001 WOODLAND AVE, SUITE 2345, CLEVELAND, OH 44104-2762
(216) 426-9314
(216) 426-9314
Mailing address
PO BOX 6212, CLEVELAND, OH 44101-1212
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36002551
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0730276
—
OH
01
—
SC0629063
MEDICAL INDIVIDUAL
OH
Enumeration date
02/05/2007
Last updated
05/10/2010
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