Individual
MARY LYNN SCOVAZZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
875 SWIFT BLVD, RICHLAND, WA 99352-3592
(509) 946-1654
(509) 943-5652
Mailing address
875 SWIFT BLVD, RICHLAND, WA 99352-3592
(509) 946-1654
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD00041636
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497736961
—
WA
01
—
162809
STATE INDUSTRIAL
WA
05
—
8331241
—
WA
Enumeration date
11/10/2005
Last updated
03/31/2021
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