MEDICARE: SCOTT D MUELLER MD

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	207Q00000X	Family Medicine Physician	MD031554E	PA

General Provider Information

NPI Number	:	1821034158
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SCOTT D MUELLER MD

Provider Business Mailing Address
First Line	:	2025 TECHNOLOGY PKWY
Second Line	:	STE 207
City	:	MECHANICSBURG
State	:	PA
Zip	:	17050
Country	:	US
Telephone Number	:	717-791-2560
Fax Number	:	717-791-2565

Provider Business Practice Location Address
First Line	:	1900 BRIDGE ST
Second Line	:
City	:	NEW CUMBERLAND
State	:	PA
Zip	:	17070-1127
Country	:	US
Telephone Number	:	717-774-7041
Fax Number	:	717-774-3213

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2006
Last Update Date	:	06/18/2024

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