Individual
SCOTT BOERTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3698 S MAIN ST, BLACKSBURG, VA 24060-7015
(540) 951-6070
(540) 951-6071
Mailing address
2000 HEALTH PARK DR FL HP2, BRENTWOOD, TN 37027-4692
(615) 373-7600
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101226430
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005846129
—
VA
05
—
010287910
—
VA
05
—
1366439721
—
VA
Enumeration date
09/30/2005
Last updated
02/08/2022
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