Basic Information
| Provider Information | |||||||||
| NPI: | 1821408113 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SCOTT | ||||||||
| FirstName: | MARY | ||||||||
| MiddleName: | |||||||||
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| Credential: | DO | ||||||||
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| Mailing Information | |||||||||
| Address1: | 450 E ROMIE LN STE 140 | ||||||||
| Address2: | |||||||||
| City: | SALINAS | ||||||||
| State: | CA | ||||||||
| PostalCode: | 939014029 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8317593257 | ||||||||
| FaxNumber: | 8317543875 | ||||||||
| Practice Location | |||||||||
| Address1: | 450 E ROMIE LN STE 140 | ||||||||
| Address2: | |||||||||
| City: | SALINAS | ||||||||
| State: | CA | ||||||||
| PostalCode: | 939014029 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8317593257 | ||||||||
| FaxNumber: | 8317543875 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/07/2014 | ||||||||
| LastUpdateDate: | 09/23/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 09/23/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 20A14664 | CA | N | Allopathic & Osteopathic Physicians | Family Medicine | 208M00000X | 20A14664 | CA | Y | Allopathic & Osteopathic Physicians | Hospitalist |
No ID Information.