Individual
DR. DAVID BRUCE SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2100 E LAKE COOK RD, SUITE 1100, BUFFALO GROVE, IL 60089-1999
(800) 317-0711
(800) 434-7113
Mailing address
1032 S 23RD ST APT 157, RICHMOND, IN 47374-6645
(515) 230-1754
(765) 935-0745
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
887-025
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000550791
ANTHEM BCBS
IN
05
—
200878300
—
IN
05
—
43237000
—
WI
01
—
P00144281
RAILROAD
WI
Enumeration date
09/21/2006
Last updated
01/11/2012
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