Individual
RICHARD L SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2605 WEST STATE ST, OLEAN, NY 14760
(716) 372-7396
(716) 372-1451
Mailing address
2605 WEST STATE ST, OLEAN, NY 14760
(716) 372-7396
(716) 372-1451
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
N002986
NY
213ES0131X
Foot Surgery Podiatrist
SC-002255-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00525686
—
NY
Enumeration date
08/26/2006
Last updated
07/08/2007
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