Individual
MR. SCOTT ALLEN LUDWIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2710 S RIFE MEDICAL LN, ROGERS, AR 72758-1452
(479) 338-8000
(479) 338-3056
Mailing address
PO BOX 507, LOWELL, AR 72745-0507
(913) 647-4100
(913) 647-4120
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
108643
IA
367500000X
Certified Registered Nurse Anesthetist
D108643
IA
367500000X
Certified Registered Nurse Anesthetist
Primary
R77880
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09737
BLUE CROSS
IA
05
—
163655001
—
AR
05
—
200124100A
—
OK
01
—
5A209
BCBS ARKANSAS
AR
05
—
918469529
—
MO
01
—
P00421666
RAILROAD
AR
Enumeration date
06/14/2006
Last updated
06/18/2021
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