Individual
EARL SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
HWY 61 SOUTH, CRYSTAL CITY, MO 63019
(904) 805-1300
(904) 805-1302
Mailing address
ONE SCOTT HARBOR LANE, BONNOTS MILL, MO 65016
(573) 619-2101
(573) 897-3790
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
29698
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
124884
BLUE CROSS
MO
01
—
426403
HEALTHLINK
MO
Enumeration date
06/13/2006
Last updated
07/08/2007
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