MEDICARE: DR. ROBERT A SCARR 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	207R00000X	Internal Medicine Physician	MD00018605	WA

Other Identifiers

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

General Provider Information

NPI Number	:	1992727333
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT A SCARR MD

Provider Business Mailing Address
First Line	:	PO BOX 5127
Second Line	:
City	:	EVERETT
State	:	WA
Zip	:	98206-5127
Country	:	US
Telephone Number	:	425-225-8000
Fax Number	:	425-225-8020

Provider Business Practice Location Address
First Line	:	15418 MAIN ST
Second Line	:	SUITE 200
City	:	MILL CREEK
State	:	WA
Zip	:	98012-9030
Country	:	US
Telephone Number	:	425-225-8000
Fax Number	:	425-225-8020

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

Provider Enumeration Date	:	07/24/2006
Last Update Date	:	06/16/2014

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