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Individual

DR. SCOTT R FLORELL

Active
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Individual

DR. SCOTT R FLORELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
2761741205
UT
207ND0900X
Dermatopathology Physician
2761741205
UT
207ND0900X
Dermatopathology Physician
Primary
MD-21397
HI
207NS0135X
Procedural Dermatology Physician
276174-1205
UT
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
276174-1205
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001150
HI
05
002082905
NV
05
0059631
MT
05
249747104A
GA
05
299802
OR
05
3020636
CA
05
806454201
ID
05
8416273
WA
05
870468377001
UT
05
J0854
NM
Enumeration date
07/18/2006
Last updated
10/28/2021
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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