Organization
SCOTT COLOGNE MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT COLOGNE MD (OWNER/SOLE MEMBER)
(402) 672-2163
Entity
Organization
Contact information
Practice address
727 CRAIG RD, STE 101, SAINT LOUIS, MO 63141-7175
(402) 672-2163
Mailing address
PO BOX 23478, SAN DIEGO, CA 92193-3478
(402) 672-2163
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
2006005276
MO
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
Primary
2006005276
MO
Other
Enumeration date
06/09/2009
Last updated
12/03/2012
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