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Dr. Clinton Herwin Scott JR., DPM
Podiatrist in South Bend, Indiana
NPI 1750360137

Clinton Herwin Scott JR. is a Podiatrist based in South Bend, IN. Clinton Herwin Scott JR. practices in South Bend, IN and has the professional credentials of DPM. The NPI Number for Clinton Herwin Scott JR. is 1750360137 and holds a License No. 07000990A (Indiana).

The current practice location address for Clinton Herwin Scott JR. is 3903 Portage Rd, South Bend, IN and can be reached out via phone at 609-440-8714 and via fax at 269-469-9240.

Location: 3903 Portage Rd, South Bend, IN, 46628-4431
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750360137
Provider Name
Clinton Herwin Scott JR.
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
3903 Portage Rd, South Bend, IN, 46628-4431
Phone Number
609-440-8714
Fax Number
269-469-9240
Provider Enumeration Date
01/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000339432 01 IN ANTHEM
200305000 05 IN
institution
Provider Business Practice Location Address Details
Address
3903 Portage Rd
City
South Bend
State
Indiana
Zip
46628-4431
Phone Number
609-440-8714
Fax Number
269-469-9240
person
Provider Business Mailing Address Details
Address
3903 Portage Rd
City
South Bend
State
Indiana
Zip
46628-4431
Phone Number
609-440-8714
Fax Number
269-469-9240
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
07000990A (Indiana)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
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