Individual
DR. SCOTT MICHAEL JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
999 N CURTIS RD STE 415, BOISE, ID 83706-1334
(208) 302-2600
(208) 302-2625
Mailing address
PO BOX 190930, BOISE, ID 83719-0930
(208) 367-5170
(208) 367-5180
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
Primary
1061872
ID
2086S0127X
Trauma Surgery Physician
2018-00160
NC
Other
Enumeration date
06/07/2011
Last updated
08/27/2024
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