Provider Demographics
NPI:1992011209
Name:SCOLLARD, DAVID MICHAEL (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:MICHAEL
Last Name:SCOLLARD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1770 PHYSICIANS PARK DR
Mailing Address - Street 2:NHDP
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70816-3222
Mailing Address - Country:US
Mailing Address - Phone:225-756-3713
Mailing Address - Fax:225-756-3819
Practice Address - Street 1:1770 PHYSICIANS PARK DR
Practice Address - Street 2:NHDP
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70816-3222
Practice Address - Country:US
Practice Address - Phone:225-756-3713
Practice Address - Fax:225-756-3819
Is Sole Proprietor?:No
Enumeration Date:2010-08-24
Last Update Date:2010-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD-5123207ZP0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology