Individual
RANDY LEROY SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1650 S MAIN ST, MCALESTER, OK 74501-7094
(918) 426-7800
Mailing address
PO BOX 579, MCALESTER, OK 74502-0579
(918) 426-7800
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R0087380
OK
Other
Enumeration date
09/23/2021
Last updated
09/23/2021
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