Individual
DIANE M SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
15611 POMERADO RD, SUITE 400, POWAY, CA 92064-2437
(858) 675-3145
(858) 385-7855
Mailing address
15611 POMERADO RD, SUITE 400, POWAY, CA 92064-2437
(858) 675-3145
(858) 385-7855
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
129874
CA
207N00000X
Dermatology Physician
ME82439
FL
207ND0900X
Dermatopathology Physician
129874
CA
207ND0900X
Dermatopathology Physician
ME82439
FL
Other
Enumeration date
11/10/2005
Last updated
08/13/2014
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