Individual
SCOTT J PUSATERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
530 S MAIDEN LN, JOPLIN, MO 64801-3084
(417) 782-6200
Mailing address
2901 SAINT JOHNS BLVD, JOPLIN, MO 64804-1598
(417) 208-0710
(850) 208-6169
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2023030157
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0236800000
—
FL
Enumeration date
01/24/2006
Last updated
11/14/2024
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