Scott, Grant

Scott, Grant is an individual health care provider with primary practice located at 4048 E Wingsong St , Springfield MO 65809. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Scott, Grant can be contacted via phone (602) 908-6522.

Contact Information

Primary practice address
4048 E Wingsong St Springfield MO 65809
Phone: (602) 908-6522
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X R73447 Arizona
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 2019022904 Missouri

Profile Details

NPI number 1760744916
LBN Legal business name Scott, Grant
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2012
Last updated Mar 26th, 2026 - about 7 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760744916 NPPES
Missouri MEDICAID 200070649

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