Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TYRELL SCURLOCK
ActiveTYRELL SCURLOCK is a Contractor healthcare provider located in SAINT LOUIS, Missouri. NPI 1104212018 is currently active in the NPPES registry. Verify at CMS.
Contractor · SAINT LOUIS, MO
Registration Details
- NPI Number
- 1104212018
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 8, 2015 (11.376701360006 yrs)
- Last Updated
- Apr 8, 2015
- License
-
2003020843 (MO)
Practice Information
- Address
-
11960 WESTLINE INDUSTRIAL DR201SAINT LOUIS, MO, 631463209Browse MO providers · Browse ZIP 63146
- Phone
- 3145758163
- Primary Specialty
-
Contractor
171W00000X
Other Contractor Providers in SAINT LOUIS, MO
| Name | Credential | NPI |
|---|---|---|
| MR. KWAKU BOAFO MANU | — | 1255534574 |
| MARY V RACKOVAN | COTA | 1891991964 |
| LISA ANN CLANCY | PT | 1881893865 |
| MR. MICHAEL EDWARD HANLON | LPTA | 1376798090 |
| TIMOTHY JAMES NIEDER | C.PED | 1467781633 |
| MRS. DEBORAH SANTOYO | PMP | 1922309137 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.