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Individual

WILLIAM J SCOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1676 E MCMURRAY BLVD, CASA GRANDE, AZ 85222-6014
(520) 316-0688
(520) 316-9689
Mailing address
PO BOX 11890, CASA GRANDE, AZ 85230-1890
(520) 316-6300
(520) 381-6976

Taxonomy

Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
Primary
13225
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
108895
PIN NUMBER MEDICARE
AZ
05
454950
AZ
Enumeration date
01/22/2007
Last updated
07/08/2007
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