Healthcare Provider Details

I. General information

NPI: 1760619191
Provider Name (Legal Business Name): ERIN BRADLEY LABESKY-SCOGGIN D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2009
Last Update Date: 11/18/2025
Certification Date: 11/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16611 S 40TH ST STE 180
PHOENIX AZ
85048-0566
US

IV. Provider business mailing address

2545 W FRYE RD STE 9
CHANDLER AZ
85224-6273
US

V. Phone/Fax

Practice location:
  • Phone: 480-785-2100
  • Fax: 480-785-2111
Mailing address:
  • Phone: 480-505-4258
  • Fax: 480-505-3689

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number005995
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: