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Individual

MR. MICHAEL D SCOTT JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP-C

Contact information

Practice address
1900 W SUNSHINE ST, SPRINGFIELD, MO 65807-2240
(417) 241-1043
Mailing address
1900 W SUNSHINE ST, SPRINGFIELD, MO 65807-2240
(417) 241-1043

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2020002483
MO

Other

Enumeration date
11/17/2022
Last updated
11/17/2022
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