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Individual

DR. ANTHONY SCROGGINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
1515 W WALNUT ST, SUITE 3B, JACKSONVILLE, IL 62650-1150
(217) 245-4610
(217) 479-0169
Mailing address
1515 W WALNUT ST, SUITE 3B, JACKSONVILLE, IL 62650-1150
(217) 245-4610
(217) 479-0169

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016004976
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8415027
BLUE CROSS BLUE SHIELD
IL
Enumeration date
09/06/2006
Last updated
06/22/2009
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