Individual
DR. DEREK S SCOTT I
Active
Individual
DR. DEREK S SCOTT I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
077308
GA
208100000X
Physical Medicine & Rehabilitation Physician
4301085359
MI
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
4301085359
MI
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
4301085359
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018888888
—
MI
01
—
43085359
BLUECROSS
MI
Enumeration date
10/06/2006
Last updated
06/10/2021
Update your record
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