Provider Information for 1063796902
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SCOTT A CLARY MS
Sex: Male
NPI: 1063796902
Last Updated: 2011-10-10
Certification Date:
Certification Date:
Details
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NPI | 1063796902 | ||||||||
Enumeration Date | 2011-10-10 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | NO | ||||||||
Status | Active | ||||||||
Mailing Address | 2201 E STATE ST HERMITAGE, PA 16148-2727 United States Phone: 724-981-7141 | Fax:724-981-7763 | ||||||||
Primary Practice Address | 2201 E STATE ST HERMITAGE, PA 16148-2727 United States Phone: 724-981-7141 | Fax:724-981-7763 | ||||||||
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