=====================================================
General NPI Number Information
=====================================================
NPI Number | 1457326969
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | WILLIAM TURNER SCOUTEN M.D.
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/18/2006
-----------------------------------------------------
Last Update Date | 06/05/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | HOSPITAL AMERICANO BASE NAVAL DE ROTA ASPARTADO DE CORREOS 33
-----------------------------------------------------
City | ROTA
-----------------------------------------------------
State | CADIZ
-----------------------------------------------------
Zip | 11530
-----------------------------------------------------
Country | ES
-----------------------------------------------------
Telephone | 757-560-2978
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PSC 819 BOX 18
-----------------------------------------------------
City | FPO
-----------------------------------------------------
State | AE
-----------------------------------------------------
Zip | 09645-0001
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 757-560-2978
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2080P0205X
-----------------------------------------------------
Taxonomy Name | Pediatric Endocrinology Physician
-----------------------------------------------------
License Number | 9601719
-----------------------------------------------------
License Number State | NC
-----------------------------------------------------