Individual
COLIN J SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8921 N WOOD SAGE RD, PEORIA, IL 61615-7822
(309) 243-3869
(309) 243-7918
Mailing address
8921 N WOOD SAGE RD, PEORIA, IL 61615-7822
(309) 243-3869
(309) 243-7918
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036134025
IL
207W00000X
Ophthalmology Physician
248001
NY
207W00000X
Ophthalmology Physician
MD60294408
WA
2084N0400X
Neurology Physician
248001
NY
2084N0400X
Neurology Physician
MD60294408
WA
Other
Enumeration date
04/25/2006
Last updated
10/20/2021
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