Individual
DR. FRED DACON SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1000 N ALLEN ST, ROBINSON, IL 62454-1167
(618) 546-2618
(618) 546-2669
Mailing address
1000 N ALLEN ST, ROBINSON, IL 62454-1167
(618) 546-2618
(618) 546-2669
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036090368
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036090368
—
IL
Enumeration date
10/24/2005
Last updated
09/01/2020
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