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Contact Information

DANIEL J SCODARY, MD
10010 KENNERLY RD
SAINT LOUIS, MO63128-2106
 Phone: 314-525-1000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurological Surgery

207T00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for DANIEL J SCODARY · (Male)

NPI # 1619965316
Status Active
Credentials MD
Entity Individual
Enumeration date 10/07/2005
Last updated 04/07/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME127387
  • MO License # R8N28
  • FL Medicaid PENDING
  • FL Other PENDING MEDICARE
  • MO Other 30173 BLUE CROSS BLUE SHIELD
  • MO Other 130004994 RR MEDICARE
Hospital affiliation(s)
  • JEFFERSON REGIONAL MEDICAL CENTER - (Acute Care)
    1400 HIGHWAY 61 SOUTH
    CRYSTAL CITY, MO 63019
  • ST ANTHONY'S MEDICAL CENTER - (Acute Care)
    10010 KENNERLY ROAD
    SAINT LOUIS, MO 63128
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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