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Individual

DR. SCOTT ALAN STORCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2330 E HIGH ST, SPRINGFIELD, OH 45505-1371
(937) 324-3937
(937) 324-8943
Mailing address
2330 E HIGH ST, SPRINGFIELD, OH 45505-1371
(937) 324-3937
(937) 324-8943

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
11013273A
IN
207W00000X
Ophthalmology Physician
Primary
35.095337
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1639331358
NATIONAL NPI NUMBER
OH
05
3082499
OH
01
9911559
AETNA
OH
Enumeration date
06/25/2008
Last updated
03/08/2021
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