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Individual

SCOTT HARRISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1941 LIMESTONE RD, SUITE 211, WILMINGTON, DE 19808-5400
(302) 998-1151
(302) 998-1154
Mailing address
1 COLLINS DR, WILMINGTON, DE 19803-3153
(302) 998-1151
(302) 998-1154

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C2-0005412
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0001073903
DE
Enumeration date
04/07/2006
Last updated
12/08/2009
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