Provider Demographics
NPI:1487689204
Name:MORLEDGE-HAMPTON, SCOTT JOSEPH (MD)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:JOSEPH
Last Name:MORLEDGE-HAMPTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1747 POLY DR
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59102-1728
Mailing Address - Country:US
Mailing Address - Phone:406-294-1994
Mailing Address - Fax:406-294-1996
Practice Address - Street 1:1747 POLY DR
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102-1728
Practice Address - Country:US
Practice Address - Phone:406-294-1994
Practice Address - Fax:406-294-1996
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-11
Last Update Date:2015-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT10586207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT0157274Medicaid
MT000094566OtherBLUE CROSS BLUE SHIELD
MT0157274Medicaid