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1235242611
SCOTT L VANDIVER
BOONE, NC
NPI
1235242611
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: NC 28584)
Enumeration Date
2006-08-17
Last Update Date
2016-03-30
Business Address
SCOTT L VANDIVER MD
895 STATE FARM RD STE 401
BOONE, NC 28607-4917
Phone number: 828-264-4691
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Mailing Address
SCOTT L VANDIVER MD
562 WINDWOOD LN
BOONE, NC 28607-7089
Phone number: 828-963-3867
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