Individual
DR. DAVID SCOVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
5328 CANTERBURY RD, FAIRWAY, KS 66205-2611
(913) 832-5289
Mailing address
5328 CANTERBURY RD, FAIRWAY, KS 66205-2611
(913) 832-5289
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
A126842
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2012
Last updated
12/17/2021
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