MEDICARE: SCOTT T MCLEOD DPM LLC

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
1	213E00000X	Podiatrist

General Provider Information

NPI Number	:	1700979564
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SCOTT T MCLEOD DPM LLC

Provider Business Mailing Address
First Line	:	2267 MADEIRA DR
Second Line	:
City	:	MACUNGIE
State	:	PA
Zip	:	18062-8780
Country	:	US
Telephone Number	:	610-216-1989
Fax Number	:	610-351-3974

Provider Business Practice Location Address
First Line	:	3131 COLLEGE HEIGHTS BLVD
Second Line	:	SUITE 2200
City	:	ALLENTOWN
State	:	PA
Zip	:	18104-4812
Country	:	US
Telephone Number	:	610-216-1989
Fax Number	:	610-351-3974

Authorized Official
Title or Position	:	OWNER
Name	:	DR. SCOTT MCLEOD
Credential	:	DPM
Telephone Number	:	610-216-1989

Provider Enumeration Date	:	10/02/2006
Last Update Date	:	01/06/2016

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