SCOTT M DEWENTER

Dr SCOTT M DEWENTER is a male medical professional, specializing in Podiatry. He graduated in 1996 from California College Podiatric Medicine.

Contact

600 CENTRAL AVE
STE. G
LAKE ELSNORE
CA
925302740

Tel: 9512457472

SCOTT M DEWENTER Information

Npi 1376569194
Pac Id 6305027764
Professional Enrollment Id I20110218000403
Last Name DEWENTER
First Name SCOTT
Middle Name M
Suffix
Gender M
Credential
Medical School Name CALIFORNIA COLLEGE PODIATRIC MEDICINE
Graduation Year 1996
Primary Specialty PODIATRY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
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Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 600 CENTRAL AVE
Line 2 Street Address STE. G
Marker Of Address Line 2 Suppression
City LAKE ELSNORE
State CA
Zip Code 925302740
Phone Number 9512457472
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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