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Individual

SCOTT PAUL DAVIS

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1200 6TH AVE N, SAINT CLOUD, MN 56303-2735
(320) 252-5131
(320) 240-2118
Mailing address
1200 6TH AVE N, SAINT CLOUD, MN 56303-2735
(320) 252-5131
(320) 240-2118

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
29998
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0423574
MEDICA HEALTH PLANS
01
2114120
FIRST HEALTH PLAN
01
220896
U CARE
01
600908
ARAZ GROUP AMERICAS PPO
01
6D061DA
BCBS
01
986006
PREFERRED ONE
01
HP22743
HEALTH PARTNERS
Enumeration date
10/25/2005
Last updated
07/08/2007
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