Organization
JEFFREY A SCOTT MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MANETTE MARIE PALMER (OFFICE MANAGER)
(816) 765-3888
Entity
Organization
Contact information
Practice address
13010 WHITE AVE, SUITE A, GRANDVIEW, MO 64030-2667
(816) 765-3888
(816) 763-8306
Mailing address
13010 WHITE AVE, SUITE A, GRANDVIEW, MO 64030-2667
(816) 765-3888
(816) 763-8306
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36345
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40181011
BLUE CROSS BLUE SHIELD
MO
05
—
507402600
—
MO
Enumeration date
05/03/2006
Last updated
08/26/2008
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