Individual
SCOTT R SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3425 EXECUTIVE PKWY, SUITE 230, TOLEDO, OH 43606-1326
(419) 531-3500
(419) 531-1877
Mailing address
P O BOX 74872, CLEVELAND, OH 44194-4872
(419) 531-3500
(419) 531-1877
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
35-07-8534 S
OH
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
Primary
35-07-8534 S
OH
Other
Enumeration date
01/10/2007
Last updated
07/20/2007
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