Healthcare Provider Details

I. General information

NPI: 1205806965
Provider Name (Legal Business Name): SCOTT B ARMSTRONG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/25/2006
Last Update Date: 05/13/2021
Certification Date: 05/13/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3520 E. LOUISE DR
MERIDIAN ID
83642
US

IV. Provider business mailing address

3520 E. LOUISE DR
MERIDIAN ID
83642
US

V. Phone/Fax

Practice location:
  • Phone: 208-955-0350
  • Fax: 208-955-0352
Mailing address:
  • Phone: 208-955-0350
  • Fax: 208-955-0352

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberM7809
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: