Individual
DR. SUZANNE SCOGGINS GAYTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3535 SOUTHERN BLVD, KETTERING, OH 45429-1221
(937) 298-4331
Mailing address
20 PRESTIGE PLAZA DR, SUITE 100, MIAMISBURG, OH 45342-7303
(877) 727-4658
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35-093163
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3102574
—
OH
01
—
H106230
MEDICARE PTAN
OH
01
—
H106231
MEDICARE PTAN
OH
Enumeration date
07/31/2008
Last updated
03/22/2013
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