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NPI Code Detail

MEDICARE: SCOTT O SIBLEY MT(ASCP)

MEDICARE:   SCOTT O SIBLEY  MT(ASCP)
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
1246QM0706XMedical TechnologistG03424LA

General Provider Information

NPI Number : 1043288558
Entity Type Code : Individual
Provider Name (Legal Business Name) : SCOTT O SIBLEY MT(ASCP)
Provider Business Mailing Address
First Line : 1455 WRIGHT AVE
Second Line :
City : CROWLEY
State : LA
Zip : 70526-2220
Country : US
Telephone Number : 337-783-7337
Fax Number : 337-783-1022
Provider Business Practice Location Address
First Line : 1455 WRIGHT AVE
Second Line :
City : CROWLEY
State : LA
Zip : 70526-2220
Country : US
Telephone Number : 337-783-7337
Fax Number : 337-783-1022
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2006
Last Update Date : 07/08/2007

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Directions to “ SCOTT O SIBLEY MT(ASCP)” Practice Location

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