Scott C. Van Gorder D.O.

NPI 1790892644 - Family Medicine - 207Q00000X

NPI Details
NPI 1790892644
Gender Male
Enumeration Date 08/24/2006
Last Updated 05/22/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
OSWEGO NY, 13126-3276, US
Phone (315) 342-0888
Fax (315) 343-4663
Business Location
PULASKI NY, 13142-1400, US
Phone (315) 298-6564
Fax (315) 298-7831
Taxonomy Code 207Q00000X
License State New York
License Number 213595
Remove 1790892644 NPI Number

According to our database, Scott C. Van Gorder D.O. NPI is 1790892644, taxonomy code is 207Q00000X and license number is 213595, license state is located at New York. Scott C. Van Gorder D.O. physically located at 10 George St, Oswego NY, 13126-3276. NPI Number Scott C. Van Gorder D.O. has the Individual type.

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1790892644 NPI number is provided on an as is basis without warranty of any kind. 1790892644 is maintained by the National Plan & Provider Enumeration System. The contents of Scott C. Van Gorder D.O. are for informational purposes only.