Individual provider · Type 1 NPI
Gloria Jeanne Scoonover, MD
General Practice Physician · St. Paul, MN
NPI number
1730330127
Active
Practice location
679 3rd Ave
St. Paul, MN 55118-2811
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 33640 (MN) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1730330127
Gloria Jeanne Scoonover, MD's National Provider Identifier is 1730330127, issued on Oct 3, 2008. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in St. Paul, MN. The record was last updated on Oct 3, 2008.