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Individual

LESLIE SCOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MT4793
MT
2080A0000X
Pediatric Adolescent Medicine Physician
MT4793
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000092566
BCBS
MT
05
0151034
MT
Enumeration date
08/09/2006
Last updated
11/09/2012
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