| Doctor Name: | DR. SCOTT WALEN |
| NPI Number: | 1023396520 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D., FRCSC |
| License Number: | 2011009936 |
| Business Practice Address: | 660 South Euclid Ave St. Louis, MO - 63110 |
| Business Phone Number: | 3143627395 |
| Business Fax Number: | |
| Mailing Address: | 634 1800 South Brentwood Boulevard, ST. LOUIS |
| State: | MO |
| Postal Code: | 63144 |
| Phone Number: | 3144229892 |
| Fax Number: | |
| NPI Enumeration Date: | 08/01/2011 |
| NPI Last Update Date: | 08/01/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2086S0122X |
| License Number: | 2011009936 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Surgery |
| Taxonomy Specialization: | Plastic and Reconstructive Surgery |
| Taxonomy Definition: | A surgeon who specializes in plastic and reconstructive surgery. |