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NPI Code Detail

MEDICARE: DR. SCOTT ANDREW HAVENS MD

MEDICARE: DR. SCOTT ANDREW HAVENS MD
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
1207Q00000XFamily Medicine Physician33035AZ
22084A0401XAddiction Medicine (Psychiatry & Neurology) Physician33035AZ
3207P00000XEmergency Medicine Physician33035AZ

General Provider Information

NPI Number : 1679682785
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SCOTT ANDREW HAVENS MD
Provider Business Mailing Address
First Line : 337 E CORONADO RD STE 201
Second Line :
City : PHOENIX
State : AZ
Zip : 85004-1583
Country : US
Telephone Number : 480-712-4600
Fax Number : 602-428-7045
Provider Business Practice Location Address
First Line : 337 E CORONADO RD STE 201
Second Line :
City : PHOENIX
State : AZ
Zip : 85004-1583
Country : US
Telephone Number : 480-712-4600
Fax Number : 602-428-7045
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2006
Last Update Date : 11/04/2025

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