| Robert Clayton Scanlon Ii, DO | |
|
1001 E Primrose St, Springfield, MO 65807-5155 | |
| (417) 875-3000 | |
| Not Available |
| Full Name | Robert Clayton Scanlon Ii |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Location | 1001 E Primrose St, Springfield, Missouri |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013915792 | NPI | - | NPPES |
| 19-40002 | Other | MO | UHC PROVIDER ID |
| 242280501 | Medicaid | MO | |
| 333950115 | Other | MEDICARE PIN OCH | |
| 2075 | Other | MO | GATEWAY EDI SUBMITTER ID |
| 340006342 | Other | PALMETTO GBA-MRR ID | |
| P00364221 | Other | MEDICARE RR OCH | |
| 10028 | Other | MO | BC/BS PROVIDER ID |
| 1013915792 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | R5F54 (Missouri) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Clayton Scanlon Ii, DO Po Box 9007, Springfield, MO 65808-9007 Ph: (417) 875-3000 | Robert Clayton Scanlon Ii, DO 1001 E Primrose St, Springfield, MO 65807-5155 Ph: (417) 875-3000 |
Jennifer A Malossi, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1001 E Primrose St, Springfield, MO 65807 Phone: 417-875-3381 Fax: 417-875-3690 | |
Dr. Eric P. Guilliams, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1965 S Fremont Ave, Suite 370, Springfield, MO 65804 Phone: 417-882-0300 Fax: 417-882-9645 | |
Dr. Barry S Farber, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 3850 S National Ave, Suite 320, Springfield, MO 65807 Phone: 417-269-6944 Fax: 417-269-6947 | |
Dr. Mark J. Walterskirchen, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1965 S Fremont Ave, Suite 370, Springfield, MO 65804 Phone: 417-820-0300 Fax: 417-882-9645 | |
Tyrun Keith Richardson, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1965 S Fremont Ave, Ste 370, Springfield, MO 65804 Phone: 417-820-0300 | |
Howard W Follis, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 1001 E Primrose St, Springfield, MO 65807 Phone: 417-875-3000 Fax: 417-875-3690 |