Provider Demographics
NPI:1720159155
Name:SCALING, SAM T (MD)
Entity Type:Individual
Prefix:MR
First Name:SAM
Middle Name:T
Last Name:SCALING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1125 EAST SECOND STREET
Mailing Address - Street 2:
Mailing Address - City:CASPER
Mailing Address - State:WY
Mailing Address - Zip Code:82601
Mailing Address - Country:US
Mailing Address - Phone:307-577-4225
Mailing Address - Fax:307-577-4229
Practice Address - Street 1:1125 EAST SECOND STREET
Practice Address - Street 2:
Practice Address - City:CASPER
Practice Address - State:WY
Practice Address - Zip Code:82601
Practice Address - Country:US
Practice Address - Phone:307-577-4225
Practice Address - Fax:307-577-4229
Is Sole Proprietor?:No
Enumeration Date:2006-11-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WY2811A207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WY309027Medicare ID - Type Unspecified
B42854Medicare UPIN