MR. Scott David Powderly, BOCO, A.T.,C.
NPI #1063408078 in Owings Mills, Maryland
Provider Information
- NPI Number
- 1063408078
- Entity Type
- Individual
- Name
- MR. Scott David Powderly, BOCO, A.T.,C.
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Specialist
- Credential
- BOCO, A.T.,C.
- Enumeration Date
- Sep 25, 2005
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 10 CROSSROADS DR
- Address 2
- SUITE 210
- City
- Owings Mills
- State
- Maryland
- ZIP Code
- 21117-5458
- Phone
- (410) 363-3011
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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