Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0127X | Trauma Surgeon | 2002012694 | MO |
NPI | 1275637498 |
---|---|
Provider Name | Aaron Scifres |
First Address | Indianapolis, IN 46219-4959 |
Second Address | Saint Louis, MO 63110 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/09/2006 |
Last Update Date | 05/01/2021 |