Individual
ANDREW SCADUTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8112 DELMAR BLVD, SAINT LOUIS, MO 63130-3736
(314) 546-5808
(314) 677-6807
Mailing address
PO BOX 240244, BALLWIN, MO 63024-0244
(314) 546-5808
(314) 677-6807
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R9931
MO
Other
Enumeration date
09/23/2005
Last updated
02/16/2010
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