DR. Clinton Herwin Scott JR., DPM

NPI #1750360137 in South Bend, Indiana

Provider Information

NPI Number: 1750360137
Entity Type: Individual
Name: DR. Clinton Herwin Scott JR., DPM
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Podiatrist
Credential: DPM
Enumeration Date: Jan 12, 2006
Last Updated: Sep 30, 2010

Practice Location

Address: 3903 PORTAGE RD
Address 2: SUITE C # 161
City: South Bend
State: Indiana
ZIP Code: 46628-4431
Phone: (609) 440-8714

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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