Individual
DR. SCOTT RANDALL PEPIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2090 WOODWINDS DR STE 100, WOODBURY, MN 55125-2522
(651) 968-5201
(651) 968-5201
Mailing address
710 COMMERCE DR STE 200, WOODBURY, MN 55125-4925
(651) 968-5201
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
01073563A
IN
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
109016
MN
Other
Enumeration date
07/06/2009
Last updated
07/21/2022
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