Individual
DR. SCOTT ANTHONY VASCONCELLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1004 FOWLER WAY, SUITE 4, PLACERVILLE, CA 95667-5746
(530) 626-9488
(530) 626-1104
Mailing address
1004 FOWLER WAY, SUITE 4, PLACERVILLE, CA 95667-5746
(530) 626-9488
(530) 626-1104
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A89589
CA
Other
Enumeration date
05/03/2007
Last updated
10/15/2010
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