Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 35.140934 | OH |
NPI | 1003310384 |
---|---|
Provider Name | Nicholas Anthony Scott |
First Address | Toledo, OH 43635-1357 |
Second Address | Toledo, OH 43606-3895 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/03/2018 |
Last Update Date | 15/09/2021 |