Scott Edward Mimms M.D.

NPI 1104084326 - Surgery - 208600000X

NPI Details
NPI 1104084326
Gender Male
Enumeration Date 05/23/2008
Last Updated 01/07/2013
Entity Type Individual
Active Over 8 years ago
Practice Location
7250 CLEARVISTA DRIVE
SUITE 100
INDIANAPOLIS IN, 46256-4640, US
Phone (317) 621-5673
Fax (317) 621-6040
Business Location
8180 CLEARVISTA PARKWAY
SUITE 230
INDIANAPOLIS IN, 46256-4649, US
Phone (317) 621-1647
Fax (317) 355-6162
Toxanomy
Taxonomy Code 208600000X
License State Indiana
License Number 01068514A
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According to our database, Dr. Scott Edward Mimms M.D. NPI is 1104084326, taxonomy code is 208600000X and license number is 01068514A, license state is located at Indiana. Scott Edward Mimms M.D. physically located at 7250 Clearvista Drive, Indianapolis IN, 46256-4640. NPI Number Scott Edward Mimms M.D. has the Individual type.

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1104084326 NPI number is provided on an as is basis without warranty of any kind. 1104084326 is maintained by the National Plan & Provider Enumeration System. The contents of Scott Edward Mimms M.D. are for informational purposes only.