Organization
BLS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN EDWARD SCOWLEY MD (PRESIDENT)
(816) 776-2201
Entity
Organization
Contact information
Practice address
902 WOLLARD BLVD, RICHMOND, MO 64085
(816) 776-2201
(816) 776-7678
Mailing address
902 WOLLARD BLVD, RICHMOND, MO 64085
(816) 776-2201
(816) 776-7678
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R2F86
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15525010
BCBS
MO
05
—
202170809
—
MO
01
—
CB2937
PALMETTO GBA RAILROAD
MO
Enumeration date
02/24/2006
Last updated
03/28/2008
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