Individual
DR. JEFFREY SCOTT NOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
71 ELK ST, COUDERSPORT, PA 16915-9601
(814) 274-5577
(814) 274-8709
Mailing address
1001 E 2ND ST, COUDERSPORT, PA 16915-8161
(814) 274-7407
(814) 274-0807
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD038732E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001098969
—
PA
Enumeration date
06/22/2006
Last updated
04/01/2021
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