Walter Scott Edwa Medlin in Salt Lake City - Surgery

Walter Scott Edwa Medlin - NPI 1932156692

Walter Scott Edwa Medlin is a Surgery in Salt Lake City, Utah. Walter Scott Edwa Medlin practices all healthcare services and medical treatments related to Surgery. The NPI Number for Walter Scott Edwa Medlin is 1932156692. The last update date is 2014-08-21.

Walter Scott Edwa Medlin's current location address is 1046 E 100 S, Salt Lake City, Utah. You can contact this provider via phone number 4066942487 and fax number 8017462886. The mailing address for Walter Scott Edwa Medlin is 1046 E 100 S, Salt Lake City, Utah. To know further, please read the information below!

Provider Profile Detail

Provider Name Walter Scott Edwa Medlin
Address 1046 E 100 S, Salt Lake City, Utah
Phone Number 4066942487
Fax Number 8017462886
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1932156692
Provider Enumeration Date 2006-05-28
Last Updated Date 2014-08-21

Provider Mailing Address Detail

Address 1046 E 100 S
City Salt Lake City
State Utah (UT)
Post Code 841021520
Phone Number 4066942487
Fax Number 8017462886

Provider's Primary Taxonomy Detail

Speciality Surgery
Taxonomy 208600000X
Licence No 47825-020
Definition:
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue;

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
7762232 WA AETNA
248634 WA L&I AND CRIME VICTIMS
1932156692 WA --
976488700 MN --
MD0608W AK --
1008ME WA REGENCE

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FAQs about Walter Scott Edwa Medlin

What is the unique 10-digit identifier code assigned to Walter Scott Edwa Medlin by the Centers for Medicare & Medicaid Services?

The Walter Scott Edwa Medlin has been issued the NPI (National Provider Identifier) 1932156692 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete address where Walter Scott Edwa Medlin is physically located?

The Walter Scott Edwa Medlin is situated at the following address: 1046 E 100 S, Salt Lake City, UT 841021520.

What is Walter Scott Edwa Medlin's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Walter Scott Edwa Medlin is Surgery, and the taxonomy code that categorizes this field of expertise is 208600000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1932156692 to Walter Scott Edwa Medlin?

The Centers for Medicare & Medicaid Services originally issued the 1932156692 to Walter Scott Edwa Medlin on 2006-05-28.

As of what date were the details pertaining to Walter Scott Edwa Medlin last refreshed?

The information related to the Walter Scott Edwa Medlin, including its address, specialty, and other relevant details, was last updated on 2014-08-21.

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