| Scott Cologne Md Llc | |
|
727 Craig Rd Ste 101 Saint Louis MO 63141-7175 | |
| (402) 672-2163 | |
| Not Available |
| Full Name | Scott Cologne Md Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Sleep Medicine |
| Location | 727 Craig Rd, Saint Louis, Missouri |
| Authorized Official Name and Position | Scott Cologne (OWNER/SOLE MEMBER) |
| Authorized Official Contact | 4026722163 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Scott Cologne Md Llc Po Box 23478 San Diego CA 92193-3478 Ph: (402) 672-2163 | Scott Cologne Md Llc 727 Craig Rd Ste 101 Saint Louis MO 63141-7175 Ph: (402) 672-2163 |
| NPI Number | 1730315326 |
|---|---|
| Provider Enumeration Date | 06/09/2009 |
| Last Update Date | 12/03/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730315326 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 2006005276 (Missouri) | Secondary |
| 2084S0012X | Psychiatry & Neurology - Sleep Medicine | 2006005276 (Missouri) | Primary |
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