Individual
JOHN GLENN SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
2450 S TELSHOR BLVD, LAS CRUCES, NM 88011-5076
(802) 748-9501
Mailing address
22730 DIAMOND BAY DR, FRANKSTON, TX 75763-4020
(732) 512-7704
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
042-0011945
VT
207Q00000X
Family Medicine Physician
59062
TX
207Q00000X
Family Medicine Physician
MA72009
NJ
207Q00000X
Family Medicine Physician
Primary
TM2020-1177
NM
Other
Enumeration date
11/03/2006
Last updated
05/07/2024
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