Individual
SANDRA SCROGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
800 E CARPENTER ST, SPRINGFIELD, IL 62769-1000
(217) 814-5178
(217) 757-6458
Mailing address
PO BOX 19636, SPRINGFIELD, IL 62794-9636
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
125082799
IL
Other
Enumeration date
07/18/2023
Last updated
07/18/2023
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