Individual
SCOTT M HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
7101 GUILFORD DR #204, SUITE 204, FREDERICK, MD 21704-5930
(301) 694-8880
(301) 663-0959
Mailing address
7101 GUILFORD DR #204, SUITE 204, FREDERICK, MD 21704-5930
(301) 694-8880
(301) 663-0959
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
01223
MD
213ES0103X
Foot & Ankle Surgery Podiatrist
SC004183R
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015596180002
—
PA
05
—
1017481350001
—
PA
05
—
1265459606
—
PA
05
—
410156100
—
MD
05
—
549685364
—
MD
Enumeration date
08/23/2005
Last updated
03/30/2016
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