Individual
DR. SCOTT A ESTREM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3423 S FARM ROAD 187, SPRINGFIELD, MO 65809-4179
(000) 000-0000
Mailing address
3423 S FARM ROAD 187, SPRINGFIELD, MO 65809-4179
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
E-5863
AR
207Y00000X
Otolaryngology Physician
R8E81
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
132300193
MEDICARE PTAN
MO
05
—
140012001
—
AR
01
—
148764
MO BLUE SHIELD
MO
05
—
202141339
—
MO
01
—
98461
ARK BLUE SHIELD
AR
Enumeration date
02/06/2007
Last updated
01/16/2026
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