TYRELL SCURLOCK NPI 1104212018

NPI Information

Tyrell Scurlock is a contractor in Saint Louis, MO. The provider is a person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). Tyrell Scurlock NPI is 1104212018. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

11960 WESTLINE INDUSTRIAL DR
201
SAINT LOUIS, MO
ZIP 63146-209
Phone: (314) 575-8163

The enumeration date for this NPI number is 4/8/2015 and was last updated on 4/8/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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