Individual
STACY L SCUDDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6201 GENDER RD, CANAL WINCHESTER, OH 43110-2007
(614) 834-8042
(614) 837-8035
Mailing address
6201 GENDER RD, CANAL WINCHESTER, OH 43110-2007
(614) 834-8042
(614) 837-8035
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
34.007025
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2191748
—
OH
Enumeration date
06/12/2006
Last updated
01/19/2010
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