Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | RS006845 | MI |
N | 207XS0117X | Orthopaedic Spine Surgeon | RS006845 | MI |
NPI | 1154309029 |
---|---|
Provider Name | Dr. Richard A Scott |
First Address | Warren, MI 48089-1451 |
Second Address | Warren, MI 48089-1451 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/01/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1310198 | (05) | MI |
B47129 | (02) | MI |