Individual
BRIAN K SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
120 NW 36TH ST, ANKENY, IA 50023
(515) 358-7550
(515) 358-7551
Mailing address
PO BOX 1475, DES MOINES, IA 50305-1475
(515) 358-7550
(515) 358-7551
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
36625
WI
207Q00000X
Family Medicine Physician
Primary
MD-44988
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32193000
—
WI
Enumeration date
09/06/2005
Last updated
06/14/2018
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