MEDICARE: SCOTTSDALE ENDOSCOPY CENTER PLC

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	261QE0800X	Endoscopy Clinic/Center	OSC3051	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1710942370
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SCOTTSDALE ENDOSCOPY CENTER PLC

Provider Business Mailing Address
First Line	:	9787 N 91ST ST
Second Line	:	SUITE 103
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85258-5088
Country	:	US
Telephone Number	:	480-657-0889
Fax Number	:	480-657-9277

Provider Business Practice Location Address
First Line	:	9787 N 91ST ST
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85258-5088
Country	:	US
Telephone Number	:	480-657-0889
Fax Number	:	480-657-9277

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	DR. DANIEL A MELINE
Credential	:	M.D.
Telephone Number	:	480-657-0889

Provider Enumeration Date	:	04/18/2006
Last Update Date	:	05/28/2015

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Directions to “SCOTTSDALE ENDOSCOPY CENTER PLC ” Practice Location

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