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Individual
SCOTT W NUTTER
Active
Individual
SCOTT W NUTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
00560
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001
BLUE SHIELD OF DC
DC
01
—
252513
BLUE SHIELD OF VA
VA
01
—
41866201
BLUE SHIELD OF MD
MD
01
—
496067
NCPPO
—
05
—
7998686000
—
MD
01
—
91242
MAMSI
MD
01
—
91242
AETNA
—
01
—
998E
TRICARE
—
01
—
A050
AMERIGROUP
—
Enumeration date
10/24/2007
Last updated
04/08/2010
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