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Individual

DR. PETER N SCALETTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
403 BURKARTH RD, WARRENSBURG, MO 64093-3101
(660) 747-2500
Mailing address
9300 DELMAR ST, PRAIRIE VILLAGE, KS 66207-2655

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
04-36438
KS
207Q00000X
Family Medicine Physician
Primary
2019045773
MO

Other

Enumeration date
04/06/2011
Last updated
01/14/2020
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