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NPI Code Detail

MEDICARE: DWIGHT E SCOTT DPM INC

MEDICARE: DWIGHT E SCOTT DPM INC
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
1213E00000XPodiatrist36002551OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1SC0629063OTHEROHMEDICAL INDIVIDUAL
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1700925088
Entity Type Code : Organization
Provider Name (Legal Business Name) : DWIGHT E SCOTT DPM INC
Provider Business Mailing Address
First Line : PO BOX 6212
Second Line :
City : CLEVELAND
State : OH
Zip : 44101-1212
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6001 WOODLAND AVE
Second Line : SUITE 2345
City : CLEVELAND
State : OH
Zip : 44104-2762
Country : US
Telephone Number : 216-426-9314
Fax Number : 216-426-9314
Authorized Official
Title or Position : OWNER PRESIDENT
Name : DR. DWIGHT EUGENE SCOTT
Credential : DPM
Telephone Number : 216-426-9314
Provider Enumeration Date : 02/05/2007
Last Update Date : 05/10/2010

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