Individual
MR. SCOTT DAVID POWDERLY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
BOCO, A.T.,C.
Contact information
Practice address
10 CROSSROADS DR, SUITE 210, OWINGS MILLS, MD 21117-5458
(410) 363-3011
Mailing address
8 MYCROFT CT, REISTERSTOWN, MD 21136-2435
(410) 526-1422
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
MD
Other
Enumeration date
09/25/2005
Last updated
07/08/2007
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