Provider Demographics
NPI:1407910748
Name:WARDEN, SCOTT M (MD)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:M
Last Name:WARDEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3226 NASSAU ST
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98201-4139
Mailing Address - Country:US
Mailing Address - Phone:425-740-2470
Mailing Address - Fax:425-740-5034
Practice Address - Street 1:3226 NASSAU ST
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98201-4139
Practice Address - Country:US
Practice Address - Phone:425-740-2470
Practice Address - Fax:425-740-5034
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-21
Last Update Date:2014-10-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY2430221207W00000X
WAMD 60065638207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology