Individual
SCOTT SELPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2020 59TH ST W, BRADENTON, FL 34209-4604
(941) 792-6611
Mailing address
2020 59TH ST W, BRADENTON, FL 34209-4604
(941) 792-6611
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
149035
NC
207P00000X
Emergency Medicine Physician
Primary
ME120096
FL
207P00000X
Emergency Medicine Physician
TP785
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0054646
—
OH
05
—
7100171550
—
KY
Enumeration date
05/19/2008
Last updated
05/13/2020
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