Individual
MR. RICHARD R SCOTT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
440 BUSINESS 53 STE C, MINONG, WI 54859-9550
(715) 520-2466
Mailing address
PO BOX 175, GORDON, WI 54838-0175
(715) 520-2466
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1045-55
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1045-55
STATE LICENSE
WI
Enumeration date
08/26/2022
Last updated
08/26/2022
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