Dr. Michael G. Scott M.D.
Family Medicine Physician in Tulsa, OK(View on Map)
Full Name
Dr. Michael Greg Scott M.D.
NPI Number
1245399138
NPI Type
Individual Provider
Gender
Male
Enumeration Date
12/06/2006
Specialties
(Taxonomies)Licenses
State
Oklahoma
License Number
18422
Contact
Information
Purpose
Mailing
Location
Address
550 S. PEORIA AVENUE
550 S. PEORIA AVENUE
City
Tulsa
Tulsa
State
OK
OK
Postal Code
74120-3825
74120-3825
Country
US
US
Telephone Number
(918) 588-1900
(918) 588-1900
Identifiers
Identifier
100732910-G
73-1042545
73-1042545
100199580A
73-1042545
100732910-A
731042545001
1118422
Identifier State
OK
OK
OK
OK
OK
OK
OK
OK
Identifier Issuer
GROUP MEDICAID/SOONERCARE
GROUP MEDICARE
GROUP BCBS
Unknown
GROUP COMMUNITY CARE OF OKLAHOMA
GROUP MEDICAID/SOONERCARE
GROUP TRICARE
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 06/16/2015
Provider Address
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