Healthcare Provider Details
I. General information
NPI: 1194742536
Provider Name (Legal Business Name): SCOTT L DARLING DO PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/15/2006
Last Update Date: 01/24/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
556 RUSH CREEK PKWY STE B
LIBERTY MO
64068-9609
US
IV. Provider business mailing address
PO BOX 177
LIBERTY MO
64069-0177
US
V. Phone/Fax
- Phone: 816-792-3400
- Fax: 816-792-4481
- Phone: 816-792-3400
- Fax: 816-792-4481
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM2500X |
| Taxonomy | Medical Specialty Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
SCOTT
LOREN
DARLING
Title or Position: OWNER PHYSICIAN
Credential: DO
Phone: 816-792-3400