Individual
DR. SCOTT IMAHARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2950 RESEARCH PARK DR, SOQUEL, CA 95073-2000
(831) 458-6272
Mailing address
2025 SOQUEL AVE, SANTA CRUZ, CA 95062-1323
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
MD00042476
WA
Other
Enumeration date
08/31/2006
Last updated
01/05/2012
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