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Search › Missouri › 171W00000X

Tyrell Scurlock

NPI 1104212018 · on the registry since 2015

Practice

Address
11960 Westline Industrial Dr
201
Saint Louis, MO 63146
Phone
(314) 575-8163
Organisation at this address
Supplemental Health Care
Supplemental Health Care
Moments Hospice Of St Louis Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
141

Registry record

Primary taxonomy
171W00000X
171W00000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-04-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri