Individual
DR. JOHN SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
715 W MILWAUKEE AVE, STORM LAKE, IA 50588-1564
(712) 213-0109
Mailing address
715 W MILWAUKEE AVE, STORM LAKE, IA 50588-1564
(712) 213-0109
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO-06986
IA
207Q00000X
Family Medicine Physician
DO0000005186
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
197463
ABFM
—
01
—
9305616
AAFP
—
Enumeration date
09/28/2018
Last updated
04/03/2025
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