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Individual

ALBERT SCRIMSHER JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
APRN

Contact information

Practice address
9915 KENNERLY RD, SAINT LOUIS, MO 63128-2703
(314) 843-4794
Mailing address
9915 KENNERLY RD, SAINT LOUIS, MO 63128-2703
(314) 843-4794

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2013042952
MO

Other

Enumeration date
10/04/2016
Last updated
10/04/2016
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