TYRELL SCURLOCK
Contractor
Active
Individual
NPI: 1104212018
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Contractor | 171W00000X | Yes | 2003020843 (MO) |
Frequently Asked Questions
NPI 1104212018 is the National Provider Identifier for TYRELL SCURLOCK, a Contractor provider located in Saint Louis, MO. This NPI was enumerated on April 8, 2015.
TYRELL SCURLOCK practices at 11960 WESTLINE INDUSTRIAL DR, 201, Saint Louis, MO 63146.
Quick Facts
- NPI
- 1104212018
- Type
- Individual
- Enumerated
- Apr 8, 2015
- Last Updated
- Apr 8, 2015
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