Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | 34.011478 | OH |
NPI | 1023370913 |
---|---|
Provider Name | Dr. Chase Andrew Scarbrough |
First Address | Canal Winchester, OH 43110-8381 |
Second Address | Athens, OH 45701-2302 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/06/2012 |
Last Update Date | 30/09/2014 |