Healthcare Provider Details

I. General information

NPI: 1679545982
Provider Name (Legal Business Name): DENNIS R. SCRIBNER JR. MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/02/2006
Last Update Date: 11/01/2023
Certification Date: 11/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7425 E SHEA BLVD STE 107
SCOTTSDALE AZ
85260-6411
US

IV. Provider business mailing address

7425 E SHEA BLVD STE 107
SCOTTSDALE AZ
85260-6411
US

V. Phone/Fax

Practice location:
  • Phone: 480-750-0095
  • Fax: 480-750-0097
Mailing address:
  • Phone: 480-750-0095
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VX0201X
TaxonomyGynecologic Oncology Physician
License Number0101-236140
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code207VX0201X
TaxonomyGynecologic Oncology Physician
License Number43295
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: