Individual
DR. TINA SCOGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
23 S 8TH ST, ASHTON, ID 83420-5211
(208) 652-3396
(208) 652-7924
Mailing address
23 S 8TH ST, ASHTON, ID 83420-5211
(208) 652-3396
(208) 652-7924
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
O-1294
ID
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2016
Last updated
10/07/2020
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