Individual
DR. SCOTT ANTHONY CROLLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
901 E 5TH ST, MERCY HOSPITAL WASHINGTON, WASHINGTON, MO 63090-3127
(636) 239-8011
(636) 239-8058
Mailing address
12107 WESTWICK PLACE, ST LOUIS, MO 63127
(314) 842-2179
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD102926
MO
Other
Enumeration date
11/16/2006
Last updated
02/27/2013
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