Individual
KRISTEN ALYSE SCOPAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
20 MUSSEY RD, SCARBOROUGH, ME 04074-9570
(207) 885-1333
(207) 885-1332
Mailing address
20 MUSSEY RD, SCARBOROUGH, ME 04074-9570
(207) 885-1333
(207) 885-1332
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD19333
ME
207QS0010X
Sports Medicine (Family Medicine) Physician
MD19333
ME
Other
Enumeration date
11/07/2008
Last updated
07/19/2023
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