Individual
DR. SCOTT C CARRIZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
930 TALON DR STE 1, O FALLON, IL 62269-1962
(618) 726-1080
(618) 726-1081
Mailing address
660 S EUCLID AVE, C B 8123, SAINT LOUIS, MO 63110-1010
(636) 447-5197
(636) 928-0994
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
2015003668
MO
Other
Enumeration date
07/05/2006
Last updated
03/02/2021
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