Scott W Clitheroe MD

NPI 1740204395 - Internal Medicine - 207R00000X

NPI Details
NPI 1740204395
Gender Male
Enumeration Date 07/27/2006
Last Updated 11/13/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
11211 TAYLOR DRAPER LN
STE 202
AUSTIN TX, 78759-3916, US
Phone (512) 674-9021
Fax (512) 342-9949
Business Location
9708 RAINLILLY LN
AUSTIN TX, 78759-7701, US
Phone (512) 658-6018
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Texas
License Number J4048
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According to our database, Scott W Clitheroe MD NPI is 1740204395, taxonomy code is 207R00000X and license number is J4048, license state is located at Texas. Scott W Clitheroe MD physically located at 11211 Taylor Draper Ln, Austin TX, 78759-3916. NPI Number Scott W Clitheroe MD has the Individual type.

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1740204395 NPI number is provided on an as is basis without warranty of any kind. 1740204395 is maintained by the National Plan & Provider Enumeration System. The contents of Scott W Clitheroe MD are for informational purposes only.