Most Relevant Information
Provider Data
| NPI Number: | 1003310384 |
| Provider Name: | NICHOLAS ANTHONY SCOTT MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/21/2018 |
| Last Updated: | 09/15/2021 |
Provider Practice Location
2142 N COVE BLVD
TOLEDO
OH
436063895
Practice Location Phone/Fax
| Phone: | 4192914000 |
| Fax: |
Provider Mailing Location
PO BOX 351357
TOLEDO
OH
436351357
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |