Organization
SCOTT RADIOLOGICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES A JUNKER M. D. (PRESIDENT AND CEO)
(314) 647-2344
Entity
Organization
Contact information
Practice address
1420 HIGHWAY 61 SOUTH, FESTUS, MO 63028-4108
(314) 647-2344
(314) 647-5108
Mailing address
2344 HAMPTON AVE, SAINT LOUIS, MO 63139-2909
(314) 647-2344
(314) 647-5108
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
194361
BLUE CROSS BLUE SHIELD
MO
01
—
27716V27716
GROUP HEALTH PLAN
MO
05
—
500875703
—
MO
01
—
CP4241
RAILROAD MEDICARE
MO
Enumeration date
07/10/2006
Last updated
08/25/2009
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