Individual
DR. SCOTT ALLEN DEMPEWOLF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2002 12TH AVE NW, ARDMORE, OK 73401-1206
(580) 226-8646
(580) 226-8641
Mailing address
2002 12TH AVE NW, ARDMORE, OK 73401-1206
(580) 226-8646
(580) 226-8641
Taxonomy
Speciality
Code
Description
License number
State
207YX0602X
Otolaryngic Allergy Physician
Primary
20353
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040012718
MEDICARE RAILROAD
OK
05
—
100119370A
—
OK
Enumeration date
11/14/2005
Last updated
11/29/2011
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