MEDICARE: DENNIS R. SCRIBNER JR. MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207VX0201X	Gynecologic Oncology Physician	0101-236140	VA
2	207VX0201X	Gynecologic Oncology Physician	43295	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1679545982
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DENNIS R. SCRIBNER JR. MD

Provider Business Mailing Address
First Line	:	7425 E SHEA BLVD STE 107
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85260-6411
Country	:	US
Telephone Number	:	480-750-0095
Fax Number	:

Provider Business Practice Location Address
First Line	:	7425 E SHEA BLVD STE 107
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85260-6411
Country	:	US
Telephone Number	:	480-750-0095
Fax Number	:	480-750-0097

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/02/2006
Last Update Date	:	11/01/2023

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Directions to “ DENNIS R. SCRIBNER JR. MD” Practice Location

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