SCOTT FRIEDERSDORF

HANNIBAL CLINIC OPERATIONS LLC

Dr SCOTT FRIEDERSDORF is a male medical professional, specializing in Podiatry. He graduated in 2000.

Contact

HANNIBAL CLINIC OPERATIONS LLC

710 BUSINESS HWY 615
BOWLING GREEN
MO
63334

Tel: 5733242063

SCOTT FRIEDERSDORF Information

Npi 1508845298
Pac Id 1153463971
Professional Enrollment Id I20100116000175
Last Name FRIEDERSDORF
First Name SCOTT
Middle Name
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2000
Primary Specialty PODIATRY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name HANNIBAL CLINIC OPERATIONS LLC
Group Practice Pac Id 9931094182
Number Of Group Practice Members 55
Line 1 Street Address 710 BUSINESS HWY 615
Line 2 Street Address
Marker Of Address Line 2 Suppression
City BOWLING GREEN
State MO
Zip Code 63334
Phone Number 5733242063
Hospital Affiliation Ccn 1 260025
Hospital Affiliation Lbn 1 HANNIBAL REGIONAL HOSPITAL
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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