Healthcare Provider Details

I. General information

NPI: 1407993363
Provider Name (Legal Business Name): SCOTT ROBERT STAMP D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/31/2007
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3655 W ANTHEM WAY STE A109-272
ANTHEM AZ
85086-0430
US

IV. Provider business mailing address

3655 W ANTHEM WAY STE A109-272
ANTHEM AZ
85086-0430
US

V. Phone/Fax

Practice location:
  • Phone: 602-750-7662
  • Fax:
Mailing address:
  • Phone: 602-750-7662
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number7346
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: