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Individual
SHANE SCOTT PARMER
Active
Individual
SHANE SCOTT PARMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD073786L
PA
2086S0129X
Vascular Surgery Physician
22508
WV
2086S0129X
Vascular Surgery Physician
Primary
35.088549
OH
2086S0129X
Vascular Surgery Physician
87498
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000640672
ANTHEM
OH
01
—
000000696943
ANTHEM
OH
05
—
2708387
—
OH
05
—
3810006650
—
WV
01
—
P00799798
RRMCR
OH
Enumeration date
08/02/2005
Last updated
11/04/2024
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