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Organization

NANCY SCATTERGOOD DONAVAN MD

Active
Other names
Nancy Scattergood MD
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NANCY LEE SCATTERGOOD MD (PHYSICIAN)
(802) 379-5874
Entity
Organization

Contact information

Practice address
2074 S STREAM RD, BENNINGTON, VT 05201-8886
(802) 379-5874
(802) 442-6703
Mailing address
2074 S STREAM RD, BENNINGTON, VT 05201-8886
(802) 379-5874
(802) 442-6703

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0420006890
VT
207Q00000X
Family Medicine Physician
0420010148
VT
363LF0000X
Family Nurse Practitioner
1010021887
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00028237
BLUE CROSS BLUE SHIELD
VT
01
00029207
BLUE CROSS BLUE SHIELD
VT
01
00049901
BLUE CROSS BLUE SHIELD
VT
05
0005554
VT
01
080066554
RAILROAD MEDICARE
VT
01
080172102
RAILROAD MEDICARE
VT
01
08198
MVP
VT
01
08328
MVP
VT
05
0NP2167
VT
05
0VN2535
VT
01
10002929
CDPHP
VT
01
10053531
CDPHP
VT
01
319096
MVP
VT
Enumeration date
12/15/2006
Last updated
06/30/2008
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