Individual
DR. RALPH DALTON SCOVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
626 REVOLUTION ST, HAVRE DE GRACE, MD 21078-3320
(410) 939-8744
(443) 502-2633
Mailing address
626 REVOLUTION ST, HAVRE DE GRACE, MD 21078-3320
(410) 939-8744
(443) 502-2633
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
D15368
MD
2084P0804X
Child & Adolescent Psychiatry Physician
D15368
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
922801200
—
MD
Enumeration date
07/15/2006
Last updated
08/19/2013
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