RICKY L SCACEWATER

JOPLIN, MO
NPI1427154558
Other NameRICK SCACEWATER
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RC0200X Internal Medicine, Critical Care Medicine
(Licence: MO  MDR9D08)
Additional Taxonomies207R00000X Internal Medicine
(Licence: TN  12919)
207RC0200X Internal Medicine, Critical Care Medicine
(Licence: TN  12919)
207R00000X Internal Medicine
(Licence: KS  0426585)
207R00000X Internal Medicine
(Licence: OK  14660)
207R00000X Internal Medicine
(Licence: MO  MDR9D08)
207RC0200X Internal Medicine, Critical Care Medicine
(Licence: KS  0426584)
207RC0200X Internal Medicine, Critical Care Medicine
(Licence: OK  14660)
207RP1001X Internal Medicine, Pulmonary Disease
(Licence: TN  12919)
207RP1001X Internal Medicine, Pulmonary Disease
(Licence: KS  0426583)
207RP1001X Internal Medicine, Pulmonary Disease
(Licence: OK  14660)
207RP1001X Internal Medicine, Pulmonary Disease
(Licence: MO  MDR9D08)
Enumeration Date2006-09-16
Last Update Date2019-10-16
Business Address
RICKY L SCACEWATER MD
100 MERCY WAY STE 450
JOPLIN, MO 64804-4524
Phone number: 417-556-8377
Mailing Address
RICKY L SCACEWATER MD
100 MERCY WAY STE 450
JOPLIN, MO 64804-4524
Phone number: 417-556-8377