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NPI Code Detail

MEDICARE: DR. ROBERT JOHN SCRIMGEOUR WESTON M.D.

MEDICARE: DR. ROBERT JOHN SCRIMGEOUR WESTON M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianM9148ID
2207Q00000XFamily Medicine PhysicianMD00046760WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
20212373OTHERWAL & I

General Provider Information

NPI Number : 1023058633
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT JOHN SCRIMGEOUR WESTON M.D.
Provider Business Mailing Address
First Line : 820 N CHELAN AVE
Second Line :
City : WENATCHEE
State : WA
Zip : 98801-2028
Country : US
Telephone Number : 509-663-8711
Fax Number :
Provider Business Practice Location Address
First Line : 916 KOALA AVE
Second Line : OMAK CLINIC
City : OMAK
State : WA
Zip : 98841-9576
Country : US
Telephone Number : 509-826-1800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2006
Last Update Date : 09/14/2022

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