Individual
MR. RICHARD LAWRENCE SCOTT III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
8 DOCTORS PARK RD, MOUNT VERNON, IL 62864-6224
(314) 722-6713
Mailing address
2023 VADALABENE DR STE 300, MARYVILLE, IL 62062-5846
(314) 722-6713
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
119463
MO
Other
Enumeration date
04/17/2018
Last updated
01/26/2021
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