Healthcare Provider Details

I. General information

NPI: 1861456626
Provider Name (Legal Business Name): SCOTT BUSKER D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 04/17/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3940 N MILLER RD
SCOTTSDALE AZ
85251-4539
US

IV. Provider business mailing address

3940 N MILLER RD
SCOTTSDALE AZ
85251-4539
US

V. Phone/Fax

Practice location:
  • Phone: 480-970-3181
  • Fax: 480-970-8031
Mailing address:
  • Phone: 480-970-3181
  • Fax: 480-970-8031

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NX0800X
TaxonomyOrthopedic Chiropractor
License Number4826
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: