Individual
DR. MARK RICHARD SCANLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 W 42ND ST, SUITE 3200, SCOTTSBLUFF, NE 69361-4669
(308) 635-3888
(308) 630-1817
Mailing address
2 W 42ND ST, SUITE 3200, SCOTTSBLUFF, NE 69361-4669
(308) 635-3888
(308) 630-1817
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
20203
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
260029617
RR MEDICARE
NE
Enumeration date
07/14/2006
Last updated
11/15/2007
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