MEDICARE: DR. SCOTT ROBERT STAMP D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	7346	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	AZ0937830	OTHER	AZ	BLUE CROSS BLUE SHIELD #

General Provider Information

NPI Number	:	1407993363
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SCOTT ROBERT STAMP D.C.

Provider Business Mailing Address
First Line	:	3655 W ANTHEM WAY STE A109-272
Second Line	:
City	:	ANTHEM
State	:	AZ
Zip	:	85086-0430
Country	:	US
Telephone Number	:	602-750-7662
Fax Number	:

Provider Business Practice Location Address
First Line	:	3655 W ANTHEM WAY STE A109-272
Second Line	:
City	:	ANTHEM
State	:	AZ
Zip	:	85086-0430
Country	:	US
Telephone Number	:	602-750-7662
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/31/2007
Last Update Date	:	04/29/2026

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