Individual
DR. SCOTT C FRIEDERSDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
100 MEDICAL DR, HANNIBAL, MO 63401-6877
(573) 231-3773
(573) 231-3828
Mailing address
100 MEDICAL DR, P.O. BOX 311, HANNIBAL, MO 63401-6877
(573) 231-3773
(573) 231-3828
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
2003009611
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
308463702
—
MO
Enumeration date
01/11/2006
Last updated
03/03/2021
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