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Individual

DR. SCOTT BRADLEY MUTCHLER

Active
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Individual

DR. SCOTT BRADLEY MUTCHLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
5699
ND
208M00000X
Hospitalist Physician
5699
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
202065421
MO
05
269757200
FL
Enumeration date
06/24/2006
Last updated
10/11/2018
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