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Individual

SCOTT C ST AMOUR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
300 FIRST CAPITOL DRIVE, ST CHARLES, MO 63301
(636) 947-5444
Mailing address
220 COMPASS POINT DR, SAINT CHARLES, MO 63301-4405
(636) 947-4480

Taxonomy

Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
036103811
IL
2085N0904X
Nuclear Radiology Physician
2000172098
MO
2085R0202X
Diagnostic Radiology Physician
036103811
IL
2085R0202X
Diagnostic Radiology Physician
Primary
2000172098
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036103811
IL
05
205255508
MO
01
300116666
RAILROAD MEDICARE
MO
01
300116667
RAILROAD MEDICARE
MO
01
300116668
RAILROAD MEDICARE
IL
Enumeration date
07/19/2006
Last updated
10/06/2025
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