Individual
DR. SCOTT R SMOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1400 US HIGHWAY 61, DEPT. OF ANESTHESIA, FESTUS, MO 63028-4100
(636) 933-1112
Mailing address
339 CONSORT DR, BALLWIN, MO 63011-4439
(636) 386-9224
(636) 386-7679
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2004004909
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207404401
—
MO
Enumeration date
01/30/2006
Last updated
03/11/2020
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