Organization
TARA SCOTT DPM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM JUSTICE (OFFICE MANAGER)
(248) 557-6500
Entity
Organization
Contact information
Practice address
22250 PROVIDENCE DR, SUITE 608, SOUTHFIELD, MI 48075-4825
(248) 557-6500
(248) 557-2781
Mailing address
22250 PROVIDENCE DR, SUITE 608, SOUTHFIELD, MI 48075-4825
(248) 557-6500
(248) 557-2781
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
TS001844
MI
Other
Enumeration date
11/19/2009
Last updated
11/19/2009
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