Organization
MALCOLM MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JON M SCOTT D.O. (PHYSICIAN)
(408) 246-9915
Entity
Organization
Contact information
Practice address
1150 SCOTT BLVD STE D1, SANTA CLARA, CA 95050-4547
(408) 246-9915
(408) 246-0187
Mailing address
1150 SCOTT BLVD STE D1, SANTA CLARA, CA 95050-4547
(408) 246-9915
(408) 246-0187
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
20A5858
CA
Other
Enumeration date
04/08/2010
Last updated
05/13/2010
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