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Individual

DR. MITZI S SCOTTEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
800 S CHURCH ST STE 400, JONESBORO, AR 72401-4112
(870) 935-6012
(870) 934-3156
Mailing address
800 S CHURCH ST STE 400, JONESBORO, AR 72401-4112
(870) 935-6012
(870) 934-3156

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
111226
MO
208000000X
Pediatrics Physician
Primary
E9760
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
208888206
MO
05
213090001
AR
Enumeration date
05/12/2006
Last updated
07/21/2022
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