London Scott, | |
3131 W 76th St Ste 5, Davenport, IA 52806-2085 | |
(309) 592-5613 | |
Not Available |
Full Name | London Scott |
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Gender | Female |
Speciality | Chiropractor |
Location | 3131 W 76th St Ste 5, Davenport, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750835674 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 084442 (Iowa) | Secondary |
111N00000X | Chiropractor | 038.012999 (Illinois) | Primary |
Provider Name | Total Health And Performance Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1326522988 PECOS PAC ID: 8224377205 Enrollment ID: O20200415002880 |
Mailing Address | Practice Location Address |
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London Scott, 501 10th St, Silvis, IL 61282-1416 Ph: () - | London Scott, 3131 W 76th St Ste 5, Davenport, IA 52806-2085 Ph: (309) 592-5613 |
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