Individual
JOHN A SCANDURRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
438 PORTLAND AVE, APT 8, SAINT PAUL, MN 55102-2290
(612) 819-0168
Mailing address
438 PORTLAND AVENUE, APT 8, SAINT PAUL, MN 55102
(612) 819-0168
Taxonomy
Speciality
Code
Description
License number
State
174M00000X
Veterinarian
Primary
02510
MN
Other
Enumeration date
08/06/2014
Last updated
08/06/2014
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