| Doctor Name: | CHRISTAL ANN SCOTT |
| NPI Number: | 1720464860 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | 085.005551 |
| Business Practice Address: | 4256 Hercules Rd Scott Afb, IL - 622256318 |
| Business Phone Number: | 5019523182 |
| Business Fax Number: | |
| Mailing Address: | 12855 N 40 Dr, SAINT LOUIS |
| State: | MO |
| Postal Code: | 631418657 |
| Phone Number: | 3146289000 |
| Fax Number: | |
| NPI Enumeration Date: | 07/30/2015 |
| NPI Last Update Date: | 07/30/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 085.005551 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |