Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | D0008650 | MD |
NPI | 1023126208 |
---|---|
Provider Name | Dr. Allan Griffiths Scott |
First Address | Towson, MD 21286-3323 |
Second Address | Baltimore, MD 21212-1113 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D76688 | (02) | MD |