Individual
MR. JOSEPH EDWARD SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
992 WENTZVILLE PKWY, WENTZVILLE, MO 63385-3695
(314) 866-8650
(314) 991-2006
Mailing address
633 EMERSON RD STE 100, CREVE COEUR, MO 63141-6739
(314) 887-3548
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085006543
IL
363A00000X
Physician Assistant
2017022874
MO
363AS0400X
Surgical Physician Assistant
2017022874
MO
Other
Enumeration date
07/12/2017
Last updated
01/06/2026
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