Individual
CASEY SCOTT LAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
51781 HUNTINGTON RD, LA PINE, OR 97739-1118
(541) 666-7920
(541) 666-7919
Mailing address
2500 NE NEFF RD, BEND, OR 97701-6015
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
7111834-1205
UT
207Q00000X
Family Medicine Physician
MD 00049004
WA
207Q00000X
Family Medicine Physician
Primary
MD202900
OR
Other
Enumeration date
08/12/2006
Last updated
11/01/2021
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