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Individual

EDWARD J SCOVILL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1900 N 14TH ST, PONCA CITY, OK 74601-2035
(580) 765-3321
(580) 765-0597
Mailing address
PO BOX 65592, CHARLOTTE, NC 28265-0592
(800) 377-8721
(304) 523-2241

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
15230
OK

Other

Enumeration date
02/22/2006
Last updated
08/10/2007
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