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Individual

DR. SCOTT R CAPEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
300 E BOYD AVE STE 120, GREENFIELD, IN 46140-2832
(317) 462-3441
(317) 477-6316
Mailing address
PO BOX 129, GREENFIELD, IN 46140-0129
(317) 468-6270
(317) 468-6268

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01045286A
IN
207R00000X
Internal Medicine Physician
01045286A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000175369
ANTHEM PIN #
IN
01
080165763
MEDICARE RAILROAD #
IN
05
200172680
IN
05
200311740B
IN
01
5555076
AETNA PIN#
IN
Enumeration date
08/12/2005
Last updated
10/08/2010
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