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Individual

MCPHERSON SCOTT BEALL JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
04-17541
KS
207X00000X
Orthopaedic Surgery Physician
R5489
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
04024020
BCBS
MO
01
3124849
CIGNA
MO
01
34514018
BCBS
MO
05
90036022
KS
Enumeration date
08/18/2005
Last updated
02/06/2008
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