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Individual

DR. B SCOTT TEATER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7700 WASHINGTON VILLAGE DR STE 260, DAYTON, OH 45459-4097
(937) 435-9013
(937) 435-1458
Mailing address
7700 WASHINGTON VILLAGE DR STE 260, DAYTON, OH 45459-4097
(937) 435-9013
(937) 435-1458

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35075368T
OH
207Q00000X
Family Medicine Physician
OH35075368T
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2190543
OH
Enumeration date
04/18/2006
Last updated
11/18/2020
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