Donald Mac Scothorn O.D.

NPI 1013911387 - Optometrist - 152W00000X

NPI Details
NPI 1013911387
Gender Male
Enumeration Date 06/02/2005
Last Updated 04/17/2008
Entity Type Individual
Active Over 13 years ago
Practice Location
ROANOKE VA, 24019-4579, US
Phone (540) 966-6616
Business Location
PO BOX 1789
ROANOKE VA, 24008-1789, US
Phone (540) 344-4000
Taxonomy Code 152W00000X
License State Virginia
License Number 0601001669
Remove 1013911387 NPI Number

According to our database, Donald Mac Scothorn O.D. NPI is 1013911387, taxonomy code is 152W00000X and license number is 0601001669, license state is located at Virginia. Donald Mac Scothorn O.D. physically located at 70 Summerfield Ct, Roanoke VA, 24019-4579. NPI Number Donald Mac Scothorn O.D. has the Individual type.

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1013911387 NPI number is provided on an as is basis without warranty of any kind. 1013911387 is maintained by the National Plan & Provider Enumeration System. The contents of Donald Mac Scothorn O.D. are for informational purposes only.