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Individual

DR. SCOTT THOMAS WOLF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
2100 NORTH BECHTLE AVE., SPRINGFIELD, OH 45504
(937) 399-2312
(937) 399-2317
Mailing address
303 W 5TH ST, MARYSVILLE, OH 43040-1113
(937) 834-3842

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5349
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
20419
SPECTERA
OH
01
27658
MEDICAL EYE SERVICES
OH
01
48751
DAVIS VISION
OH
Enumeration date
02/21/2007
Last updated
04/10/2017
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