Individual
PAUL MICHAEL SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1708 S YAKIMA AVE, STE 110, TACOMA, WA 98405-5300
(253) 627-9151
(253) 591-8892
Mailing address
1708 S YAKIMA AVE, STE 110, TACOMA, WA 98405-5300
(253) 627-9151
(253) 591-8892
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO00000816
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0222100
STATE L&I
WA
01
—
0223172
STATE L&I
WA
01
—
0224379
STATE L&I
WA
01
—
0237067
STATE L&I
WA
05
—
8485849
—
WA
01
—
8945569
STATE CRIME VICTIMS
WA
01
—
P00447141
RAILROAD
WA
Enumeration date
05/11/2007
Last updated
11/12/2010
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