MEDICARE: DR. SCOTT DOUGLAS MUIR DO

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	207V00000X	Obstetrics & Gynecology Physician	OS007301L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	078576	OTHER	PA	HMO
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1982662524
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SCOTT DOUGLAS MUIR DO

Provider Business Mailing Address
First Line	:	PO BOX 783311
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19178-3311
Country	:	US
Telephone Number	:	484-884-4500
Fax Number	:	484-884-0699

Provider Business Practice Location Address
First Line	:	1000 ALLIANCE DR
Second Line	:	SUITE 10
City	:	HAZLETON
State	:	PA
Zip	:	18202-3234
Country	:	US
Telephone Number	:	570-501-6450
Fax Number	:	570-501-6436

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

Provider Enumeration Date	:	05/03/2006
Last Update Date	:	02/19/2020

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Directions to “ DR. SCOTT DOUGLAS MUIR DO” Practice Location

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