Individual
DR. EDWARD DEMOND SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
143 GOUGLER AVE, KENT, OH 44240-2401
(330) 673-1016
Mailing address
PO BOX 933132, CLEVELAND, OH 44193-0001
(330) 673-1016
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35-085181
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2557700
—
OH
01
—
4156762
MEDICARE ID
OH
Enumeration date
10/18/2005
Last updated
05/29/2019
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