Individual
MR. MICHAEL SCOTT STILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1500 S MAIN ST, FORT WORTH, TX 76104-4917
(817) 702-1173
Mailing address
5323 HARRY HINES BLVD, DALLAS, TX 75390-9087
(214) 645-9729
(214) 645-0078
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
S3933
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/21/2017
Last updated
06/02/2022
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