Individual
SCOTT BLACKWELL
Active
Individual
SCOTT BLACKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
02002717A
IN
207L00000X
Anesthesiology Physician
Primary
3351
TN
Other
Enumeration date
07/26/2006
Last updated
03/17/2018
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