Healthcare Provider Details

I. General information

NPI: 1164672234
Provider Name (Legal Business Name): TROY A SCRIBNER MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2008
Last Update Date: 07/16/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6741 N WILLOW AVE SUITE 102
FRESNO CA
93710-5955
US

IV. Provider business mailing address

438 E SALMON RIVER DR
FRESNO CA
93730-0858
US

V. Phone/Fax

Practice location:
  • Phone: 559-299-2950
  • Fax: 559-299-2928
Mailing address:
  • Phone: 559-434-0598
  • Fax: 559-299-2928

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License NumberA70338
License Number StateCA

VIII. Authorized Official

Name: DR. TROY SCRIBNER
Title or Position: OWNER
Credential: M.D.
Phone: 559-299-2950