Individual
C SCOTT MOLDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
555 N NEW BALLAS RD, SUITE 110, SAINT LOUIS, MO 63141-6825
(636) 225-5445
(314) 432-6308
Mailing address
530 VANCE RD, VALLEY PARK, MO 63088-1527
(636) 225-5445
(636) 225-5552
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R7574
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101330
HEALTHLINK
MO
01
—
110042155
RR MEDICARE
MO
01
—
20962
BLUE CROSS/BLUE SHIELD
MO
01
—
51321
GROUP HEALTH PLAN
MO
Enumeration date
07/13/2005
Last updated
08/28/2007
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