Individual
DR. DWIGHT A SCARBOROUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
650 SHAWAN FALLS DR, DUBLIN, OH 43017-2100
(614) 764-1711
(614) 889-2652
Mailing address
650 SHAWAN FALLS DR, DUBLIN, OH 43017-2100
(614) 764-1711
(614) 889-2652
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
35045403
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070003697
RR MEDICARE ID
OH
01
—
1351
RR MEDICARE GRP ID
OH
Enumeration date
08/16/2005
Last updated
09/04/2019
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