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Individual

SCOT E BORN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
75 CLAREMONT ST STE H, KALISPELL, MT 59901-3500
(406) 752-7406
(406) 752-7544
Mailing address
135 COMMONS WAY, KALISPELL, MT 59901-1900
(406) 752-7406
(406) 752-7544

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
10318
MT
207RN0300X
Nephrology Physician
10318
MT
207RN0300X
Nephrology Physician
Primary
104392
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
62220
MT
01
95265
BCBS
MT
01
P00029737
RR MEDICARE
Enumeration date
09/21/2006
Last updated
03/07/2022
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