Individual
SCOTT WILLIAM BABCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
603 N PROGRESS AVE, SILOAM SPRINGS, AR 72761-4352
(316) 300-0109
Mailing address
841 BONNIE SCOTLAND DR, PRAIRIE GROVE, AR 72753-5001
(316) 300-0109
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
C003178
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200726500A
—
OK
05
—
218819001
—
AR
Enumeration date
10/09/2014
Last updated
07/21/2022
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