Individual
DR. SCOTT SMALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
35 CREEK RD, IRVINE, CA 92604-4724
(949) 297-3838
Mailing address
35 CREEK RD, IRVINE, CA 92604-4724
(949) 297-3838
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
20A 11607
CA
208VP0014X
Interventional Pain Medicine Physician
Primary
20A11607
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/23/2008
Last updated
09/10/2015
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