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Individual
WILLIAM B. SCROGGIE
Active
Individual
WILLIAM B. SCROGGIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
D1800
TX
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
D1800
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10028673
AMERIGROUP
TX
05
—
130220003
—
TX
01
—
130900703
MEDICAID EPSDT
TX
01
—
4464411
AETNA
TX
01
—
83217X
BCBS
TX
Enumeration date
04/28/2006
Last updated
07/17/2008
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