Dr. Stephen Mark Scallon
MD | Pediatrics | Male
Dr. Stephen Mark Scallon, MD is a Stillwater, Minnesota based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Stephen Mark Scallon is
1500 Curve Crest Blvd W, Stillwater, Minnesota - 55082-6040. He can be contacted on phone at
651-439-1234 and fax number 651-439-1547.
Dr. Stephen Mark Scallon is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Stephen Mark Scallon is
1003899089 which was assigned by NPPES on 23 Nov, 2005 and it was last updated on 08 Jul, 2019.
Dr. Stephen Mark Scallon license number is
29155 for Pediatrics (208000000X) in Minnesota.
Dr. Stephen Mark Scallon is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Stephen Mark Scallon basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Stephen Mark Scallon |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Dr. Stephen Mark Scallon address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1500 Curve Crest Blvd W
Stillwater, MN, 55082-6040
United States |
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| Phone Number : | 651-439-1234 |
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| Fax Number : | 651-439-1547 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1003899089 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 23 Nov, 2005 |
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| Last Updated On : | 08 Jul, 2019 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Stephen Mark Scallon are as mentioned. Primary taxonomy code for Dr. Stephen Mark Scallon, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 24613 | WI |
| 208000000X | Pediatrics | Yes | 29155 | MN |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Stephen Mark Scallon such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 30626700 | MEDICAID | WI | |
| 179773500 | MEDICAID | MN | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 8170 33rd Ave S # Ms 21110q
Minneapolis, MN, 55425-4516
United States |
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| Phone Number : | 651-439-1234 |
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Business Location:
Patients can refer following map for directions to
Dr. Stephen Mark Scallon practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.