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NPI Code Detail

MEDICARE: MS. SARAH ANN SCAGNELLI PA

MEDICARE: MS. SARAH ANN SCAGNELLI PA
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
1207P00000XEmergency Medicine Physician1880AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
13987220OTHERAZEVERCARE
2AZ0728670OTHERAZBLUE CROSS/BLUE SHIELD
3A101436OTHERAZHEALTHNET
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1811971500
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SARAH ANN SCAGNELLI PA
Provider Business Mailing Address
First Line : 8022 N 11TH AVE
Second Line :
City : PHOENIX
State : AZ
Zip : 85021-5627
Country : US
Telephone Number : 602-254-3411
Fax Number : 602-254-3411
Provider Business Practice Location Address
First Line : 5102 W CAMPBELL AVE
Second Line :
City : PHOENIX
State : AZ
Zip : 85031-1703
Country : US
Telephone Number : 623-848-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/06/2005
Last Update Date : 07/08/2007

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Directions to “ MS. SARAH ANN SCAGNELLI PA” Practice Location

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