Individual
MATTHEW RAY SCOGGIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN, FNP-C
Contact information
Practice address
1000 CENTRAL ST, LA BELLE, MO 63447-2092
(660) 213-0324
(660) 243-0882
Mailing address
1000 CENTRAL ST, LA BELLE, MO 63447-2092
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2024024790
MO
Other
Enumeration date
06/27/2024
Last updated
04/18/2025
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