Individual
DR. SCOTT C PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1107 9TH AVE, DE WITT, IA 52742-1053
(563) 659-8141
(563) 659-2121
Mailing address
1107 9TH AVE, PO BOX 50, DE WITT, IA 52742-1053
(563) 659-8141
(563) 659-2121
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2016
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0467990001
MEDICARE REGION D DMERC
IA
05
—
3100271
—
IA
05
—
4100271
—
IA
Enumeration date
02/22/2006
Last updated
01/15/2008
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