Individual
THOMAS R SCOTT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
11455 VIKING DR, STE 300, PARK NICOLLET CLINIC - ALEXANDER CENTER, EDEN PRAIRIE, MN 55344-7251
(952) 993-2498
(952) 993-2557
Mailing address
6465 WAYZATA BLVD, STE 315, ST LOUIS PARK, MN 55426-1728
(952) 993-7169
(952) 993-0300
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
19754
MN
Other
Enumeration date
12/27/2005
Last updated
07/08/2007
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