Individual
SCOTT ALEXANDER ANNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSPO, CPO
Contact information
Practice address
1500 OWENS ST STE 115, SAN FRANCISCO, CA 94158-2338
(415) 476-1788
Mailing address
1500 OWENS ST STE 1500, SAN FRANCISCO, CA 94158-2334
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CPO04158
AMERICAN BOARD FOR CERTIFICATION IN ORTHOTICS, PROSTHETICS & PEDORTHICS, INC.
—
Enumeration date
03/20/2019
Last updated
03/20/2019
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