Most Relevant Information
Provider Data
| NPI Number: | 1003595810 |
| Provider Name: | SANDRA SCROGGINS MD |
| Entity Type: | Individual |
| Taxonomy Code: | 2085R0202X |
| Specialty: | Radiology |
| License Number: | 125082799 |
Most Important Dates
| Enumeration Date: | 07/18/2023 |
| Last Updated: | 07/18/2023 |
Provider Practice Location
800 E CARPENTER ST
SPRINGFIELD
IL
627691000
Practice Location Phone/Fax
| Phone: | 2178145178 |
| Fax: | 2177576458 |
Provider Mailing Location
PO BOX 19636
SPRINGFIELD
IL
627949636
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |