# SCOTT S EKDAHL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Chino Valley Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184754640
- **Authorized official:** DR. SCOTT S EKDAHL DO (MANAGING MEMBER)
- **Authorized official phone:** (928) 636-4355

## Contact information

- **Practice address:** 474 N HWY 89, CHINO VALLEY, AZ 86323-5993
- **Practice address phone:** (928) 636-4355
- **Practice address fax:** (928) 636-0754
- **Mailing address:** 474 N HWY 89, CHINO VALLEY, AZ 86323-5993
- **Mailing address phone:** (928) 636-4355
- **Mailing address fax:** (928) 636-0754

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | OTC2733 | AZ | Yes |

## Other

- **Enumeration date:** 03/06/2007
- **Last updated:** 07/19/2012