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NPI Code Detail

MEDICARE: DR. SCOTT MICHAEL MCCLINTIC M.D.

MEDICARE:  DR. SCOTT MICHAEL MCCLINTIC  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
1207W00000XOphthalmology PhysicianMD167088OR

General Provider Information

NPI Number : 1033349972
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SCOTT MICHAEL MCCLINTIC M.D.
Provider Business Mailing Address
First Line : 2450 12TH ST SE
Second Line :
City : SALEM
State : OR
Zip : 97302-2152
Country : US
Telephone Number : 503-371-4350
Fax Number : 503-371-1124
Provider Business Practice Location Address
First Line : 2450 12TH ST SE
Second Line :
City : SALEM
State : OR
Zip : 97302-2152
Country : US
Telephone Number : 503-371-4350
Fax Number : 503-371-1124
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2009
Last Update Date : 03/30/2021

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Directions to “ DR. SCOTT MICHAEL MCCLINTIC M.D.” Practice Location

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