Individual
DR. DIANA MEADE SCOGGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T02691
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
117301
BCBS
—
05
—
312303605
—
MO
Enumeration date
09/27/2005
Last updated
03/03/2010
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