Individual
ANTHONY J SCALZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1465 S GRAND BLVD, SAINT LOUIS, MO 63104-1003
(314) 577-5360
(314) 268-4116
Mailing address
1465 S GRAND BLVD, SAINT LOUIS, MO 63104-1003
(314) 577-5360
(314) 268-4116
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
R6C25
MO
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
R6C25
MO
2080T0002X
Pediatric Medical Toxicology Physician
R6C25
MO
Other
Enumeration date
08/09/2006
Last updated
01/25/2021
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