Individual
CHRISTAL ANN SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4256 HERCULES RD, SCOTT AFB, IL 62225-6318
(501) 952-3182
Mailing address
12855 N 40 DR, SAINT LOUIS, MO 63141-8657
(314) 628-9000
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
085.005551
IL
Other
Enumeration date
07/30/2015
Last updated
07/30/2015
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