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General NPI Number Information
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NPI Number | 1366824930
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Entity Type | Organization
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Legal Business Name | SCOTT C WYMAN MD PC
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Dates
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Enumeration Date | 06/19/2015
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Last Update Date | 10/24/2025
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Provider Practice Location Address
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Address Line | 2835 FORT MISSOULA RD STE 305
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City | MISSOULA
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State | MT
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Zip | 59804-7424
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Country | US
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Telephone | 406-926-1088
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Fax | 406-926-1087
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Provider Business Mailing Address
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Address Line | 2835 FORT MISSOULA RD STE 305
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City | MISSOULA
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State | MT
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Zip | 59804-7424
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Country | US
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Telephone | 406-926-1088
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Fax | 406-926-1087
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Authorized Official
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Title or Position | MANAGER
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Name | MRS. SHANNON LEE SAVAGE
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Credential |
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Telephone | 406-544-0431
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 18612
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License Number State | MT
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