# LIFESCAPE MEDICAL ASSOCIATES, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013024777
- **Authorized official:** SUSAN S WILDER M.D (OWNER)
- **Authorized official phone:** (480) 860-5500

## Contact information

- **Practice address:** 8757 E BELL RD, SCOTTSDALE, AZ 85260-1322
- **Practice address phone:** (480) 860-5500
- **Practice address fax:** (480) 860-5511
- **Mailing address:** 8757 E BELL RD, SCOTTSDALE, AZ 85260-1322
- **Mailing address phone:** (480) 860-5500
- **Mailing address fax:** (480) 860-5511

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/25/2006
- **Last updated:** 12/04/2009