Individual
WILLIAM MARK SCOFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
12767
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05108325SCO
BLUE CROSS
AL
01
—
103I024232
MEDICARE PTAN
AL
01
—
1710202
UNITED HEALTHCARE
—
05
—
176555
—
AL
Enumeration date
07/11/2006
Last updated
11/14/2017
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