Provider Demographics
NPI:1316374325
Name:SCOTT, BRITTANY BREANN (IDMT)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:BREANN
Last Name:SCOTT
Suffix:
Gender:F
Credentials:IDMT
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:SCOTT
Other - Last Name:ROBERTS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:IDMT
Mailing Address - Street 1:1050 BIRCH GROVE RD
Mailing Address - Street 2:
Mailing Address - City:KALISPELL
Mailing Address - State:MT
Mailing Address - Zip Code:59901-6721
Mailing Address - Country:US
Mailing Address - Phone:406-270-9267
Mailing Address - Fax:
Practice Address - Street 1:3488 GARDEN AVE
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78234-7801
Practice Address - Country:US
Practice Address - Phone:210-916-4854
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-10-04
Last Update Date:2013-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1710I1003XOther Service ProvidersMilitary Health Care ProviderIndependent Duty Medical Technicians