MEDICARE: DR. STEVE GLEN SCOTT MD

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
1	2083X0100X	Occupational Medicine Physician	MD00039829	WA

General Provider Information

NPI Number	:	1588785141
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVE GLEN SCOTT MD

Provider Business Mailing Address
First Line	:	3301 S DAY ST
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98144-4010
Country	:	US
Telephone Number	:	206-328-6143
Fax Number	:

Provider Business Practice Location Address
First Line	:	915 2ND AVE
Second Line	:	RM 3116
City	:	SEATTLE
State	:	WA
Zip	:	98174-1009
Country	:	US
Telephone Number	:	206-220-4795
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/02/2007
Last Update Date	:	06/01/2012

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