SearchOhio103T00000X

Scott Deatherage, PHD

NPI 1134679459 · on the registry since 2016

Practice

Address
1580 Oh-56
London, OH 43140
Phone
(740) 852-2454

Additional practice sites

  • 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX

Registry record

Primary taxonomy
103T00000X
103T00000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-06-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio