Individual
SCOTT LANDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
434 N WEST ST, PERRYVILLE, MO 63775-1359
(573) 547-2536
(573) 519-5347
Mailing address
434 N WEST ST, PERRYVILLE, MO 63775-1359
(573) 547-2536
(573) 519-5347
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036-103851
IL
207P00000X
Emergency Medicine Physician
Primary
2000155010
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205361405
—
MO
05
—
205361413
—
MO
05
—
205361421
—
MO
Enumeration date
07/17/2006
Last updated
11/03/2025
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