SHIRLEY B SCOTT MD PC
Osteopathic Medicine at Luisa Pl, Santa Fe, NM

License number
New Mexico NM8995
Category
Osteopathic Medicine
Type
Infectious Disease
License number
New Mexico A034359
Category
Osteopathic Medicine
Type
Infectious Disease
Owner
Name: DR. SHIRLEY B SCOTT MD
Title: PRESIDENT
Phone: (505) 986-9960
Address
Address
428 Luisa Pl, Santa Fe, NM 87505
National Provider ID: 1932274412
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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SHIRLEY B. SCOTT, M.D., PC

Santa Fe, NM

Industry:
Medical Doctor's Office
Doing business as:
Shirley B Scott MD
Registration:
Sep 28, 1999
Phone:
(505) 986-9960 (Phone)
Addresses:
200 W Devargas, Santa Fe, NM 87501 (Mailing)
428 Luisa Place  , Santa Fe, NM 87505 (Mailing)
PO Box 2670, Santa Fe, NM 87504
428 Luisa Pl, Santa Fe, NM 87505
State ID:
2032209
Business type:
Domestic Professional Corporation
Owners:
Shirley B Scott (President, Owner, Infectious Diseases, Medical Doctor),Scott Shirley Owner, inactive
Agent:
Shirley B. Scott, M.d,428 Luisa Pl, Santa Fe, NM 87505 (Physical)

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