Individual
MARK DAVID SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1110 ARBOR DR, SUITE D, DECATUR, IL 62526-9285
(217) 875-9995
(217) 875-9998
Mailing address
1110 ARBOR DR, SUITE D, DECATUR, IL 62526-9285
(217) 875-9995
(217) 875-9998
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036084016
IL
Other
Enumeration date
09/01/2006
Last updated
12/09/2020
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