Individual
DURELLE TOWER SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
610 WYOMING AVE, KINGSTON, PA 18704-3702
(570) 288-5441
(570) 288-9613
Mailing address
610 WYOMING AVE, KINGSTON, PA 18704-3702
(570) 288-5441
(570) 288-5842
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD030648L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000732595
—
PA
Enumeration date
08/15/2006
Last updated
01/13/2010
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