Jeffdscott Llc | |
3000 Brush Creek Rd Oklahoma City OK 73120-1856 | |
(405) 334-2352 | |
Not Available |
Full Name | Jeffdscott Llc |
---|---|
Speciality | Internal Medicine |
Location | 3000 Brush Creek Rd, Oklahoma City, Oklahoma |
Authorized Official Name and Position | Jeffery D Scott (PRESIDENT) |
Authorized Official Contact | 4053342352 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Jeffdscott Llc 3333 Nw 63rd St Ste 106 Oklahoma City OK 73116-3710 Ph: (405) 296-3270 | Jeffdscott Llc 3000 Brush Creek Rd Oklahoma City OK 73120-1856 Ph: (405) 334-2352 |
NPI Number | 1194421313 |
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Provider Enumeration Date | 01/31/2023 |
Last Update Date | 01/31/2023 |
Medicare PECOS PAC ID | 4385017565 |
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Medicare Enrollment ID | O20230309000865 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194421313 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
Provider Name | Jeff Scott |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1649245929 PECOS PAC ID: 7517031297 Enrollment ID: I20100428000769 |
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