Organization
SCOTT J ARBAUGH MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT J ARBAUGH MD (OWNER)
(636) 695-4554
Entity
Organization
Contact information
Practice address
1 MEMORIAL DR, ALTON, IL 62002-6722
(636) 695-4554
(636) 695-3099
Mailing address
1001 BOARDWALK SPRINGS PL, SUITE 111A, O FALLON, MO 63368-4778
(636) 695-4554
(636) 695-3099
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K159153
PROVIDER NUMBER
IL
Enumeration date
11/15/2007
Last updated
09/21/2010
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