Individual
DR. DEREK WALTON SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-6489
Mailing address
774 PRIOR HALL, 376 W. 10TH AVE., COLUMBUS, OH 43210
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/15/2022
Last updated
06/30/2023
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