Individual
DR. RIDDELL WALCOTT SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4419 FRONTIER TRL STE 110, AUSTIN, TX 78745-1567
(512) 444-7208
(512) 444-2343
Mailing address
4419 FRONTIER TRL STE 110, AUSTIN, TX 78745-1567
(512) 444-7208
(512) 444-2343
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
40557
TN
207N00000X
Dermatology Physician
58454
MN
207N00000X
Dermatology Physician
Primary
T8340
TX
207NP0225X
Pediatric Dermatology Physician
40557
TN
207NS0135X
Procedural Dermatology Physician
40557
TN
Other
Enumeration date
08/17/2006
Last updated
11/30/2023
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