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Individual

MR. SCOTT F SHOMO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
46 TOWN CENTER PLZ STE A, MILL CREEK, WV 26280-9752
(304) 335-2050
Mailing address
46 TOWN CENTER PLZ STE A, MILL CREEK, WV 26280-9752
(304) 335-2050

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
653
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00277062
RAILROAD MEDICARE
WV
Enumeration date
12/27/2005
Last updated
09/10/2025
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