Organization
TARA SCOTT, PC
Active
Other names
Foot and Heel Pain Institute of Michigan
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TARA LONG SCOTT DPM (OWNER / CEO)
(248) 557-6500
Entity
Organization
Contact information
Practice address
22250 PROVIDENCE DR, SUITE 608, SOUTHFIELD, MI 48075-4825
(248) 557-6500
(248) 557-2781
Mailing address
22250 PROVIDENCE DR, SUITE 608, SOUTHFIELD, MI 48075-4825
(248) 557-6500
(248) 557-2781
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
TS001844
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4856351640
BLUE CROSS BLUE SHIELD
MI
01
—
DB8502
RAILROAD MEDICARE
MI
Enumeration date
09/25/2008
Last updated
04/16/2010
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