Healthcare Provider Details

I. General information

NPI: 1720075088
Provider Name (Legal Business Name): SCOTT E. TROPPER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/03/2005
Last Update Date: 09/21/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12251 N 32ND ST STE 12
PHOENIX AZ
85032-7144
US

IV. Provider business mailing address

12251 N 32ND ST STE 12
PHOENIX AZ
85032-7144
US

V. Phone/Fax

Practice location:
  • Phone: 480-945-6896
  • Fax: 480-945-7287
Mailing address:
  • Phone: 602-971-0950
  • Fax: 602-992-4971

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number22917
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberAZ22917
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: