Individual
CHAD EVERETT SCOGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2 WICKERSHAM ST, MANGUM, OK 73554-9117
(580) 782-3337
(580) 782-3338
Mailing address
PO BOX 386, MANGUM, OK 73554-0386
(580) 782-3337
(580) 782-3338
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
08/31/2015
Last updated
08/31/2015
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