Individual
TRAVIS G SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
54 HOSPITAL DR, OSAGE BEACH, MO 65065-3050
(573) 348-8312
Mailing address
54 HOSPITAL DR, OSAGE BEACH, MO 65065-3050
(573) 348-8318
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2006007774
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201051604
—
MO
Enumeration date
05/26/2006
Last updated
06/09/2010
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