Individual
DR. SCOTT C CAROLLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7500 MERCY RD, OMAHA, NE 68124-2319
(402) 398-5880
(402) 398-6716
Mailing address
7500 MERCY RD, OMAHA, NE 68124-2319
(402) 398-5880
(402) 398-6716
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
42493
OK
207RI0011X
Interventional Cardiology Physician
Primary
18677
NE
207RI0011X
Interventional Cardiology Physician
MD-31835
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1907527
—
IA
01
—
31897
BS NE
NE
01
—
35769
BS IA
IA
Enumeration date
03/06/2006
Last updated
09/04/2024
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