Scott Allen Dempewolf in Ardmore - Otolaryngic Allergy

Scott Allen Dempewolf - NPI 1437130762

Scott Allen Dempewolf is a Otolaryngic Allergy in Ardmore, Oklahoma. Scott Allen Dempewolf practices all healthcare services and medical treatments related to Otolaryngic Allergy. The NPI Number for Scott Allen Dempewolf is 1437130762. The last update date is 2011-11-29.

Scott Allen Dempewolf's current location address is 2002 12th Ave Nw, Ardmore, Oklahoma. You can contact this provider via phone number 5802268646 and fax number 5802268641. The mailing address for Scott Allen Dempewolf is 2002 12th Ave Nw, Ardmore, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Name Scott Allen Dempewolf
Address 2002 12th Ave Nw, Ardmore, Oklahoma
Phone Number 5802268646
Fax Number 5802268641
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1437130762
Provider Enumeration Date 2005-11-14
Last Updated Date 2011-11-29

Provider Mailing Address Detail

Address 2002 12th Ave Nw
City Ardmore
State Oklahoma (OK)
Post Code 734011206
Phone Number 5802268646
Fax Number 5802268641

Provider's Primary Taxonomy Detail

Speciality Otolaryngic Allergy
Taxonomy 207Yx0602X
Licence No 20353
Definition:
An otolaryngologist who specializes in the diagnosis and treatment of otolaryngic allergies and other allergic diseases.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
100119370A OK --
40012718 OK MEDICARE RAILROAD

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FAQs about Scott Allen Dempewolf

What is the unique 10-digit identifier code issued to Scott Allen Dempewolf by the Centers for Medicare & Medicaid Services?

The Scott Allen Dempewolf has been assigned the NPI (National Provider Identifier) 1437130762 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Scott Allen Dempewolf is geographically located?

The Scott Allen Dempewolf is physically situated at the following location: 2002 12Th Ave Nw, Ardmore, OK, 734011206.

What is the Scott Allen Dempewolf's specialty and taxonomy code?

The Scott Allen Dempewolf's specialty is Otolaryngic Allergy, and the corresponding taxonomy code is 207Yx0602X.

On what date did the Scott Allen Dempewolf receive the assignment of its 1437130762 from the Centers for Medicare & Medicaid Services?

The Scott Allen Dempewolf was issued its 1437130762 by the Centers for Medicare & Medicaid Services on 2005-11-14.

When was the information regarding Scott Allen Dempewolf, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Scott Allen Dempewolf, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2011-11-29.

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