Individual
SCOTT SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
A112687
CA
2086S0120X
Pediatric Surgery Physician
Primary
9203042-1205
UT
Other
Enumeration date
06/18/2008
Last updated
11/08/2021
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