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NPI Code Detail

MEDICARE: JAMES SCOTT DO

MEDICARE: JAMES SCOTT DO
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
1207Q00000XFamily Medicine Physician70104203WA
2207Q00000XFamily Medicine Physician7261479ID

General Provider Information

NPI Number : 1225721228
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES SCOTT DO
Provider Business Mailing Address
First Line : 500 S 11TH AVE STE 400
Second Line :
City : POCATELLO
State : ID
Zip : 83201-4880
Country : US
Telephone Number : 208-232-7862
Fax Number :
Provider Business Practice Location Address
First Line : 1718 E KESSLER BLVD
Second Line :
City : LONGVIEW
State : WA
Zip : 98632-1842
Country : US
Telephone Number : 360-747-5800
Fax Number : 360-575-3846
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2023
Last Update Date : 06/03/2026

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Directions to “ JAMES SCOTT DO” Practice Location

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