Individual
DR. SCOTT MILTON JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6682 LOWER RIDGE DR, LAKESIDE, AZ 85929-5064
(928) 224-4270
(928) 212-9017
Mailing address
6682 LOWER RIDGE DR, LAKESIDE, AZ 85929-5064
(928) 224-4270
(928) 212-9017
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
120685509-1205
UT
207Q00000X
Family Medicine Physician
1348-20
WI
207Q00000X
Family Medicine Physician
20652
NV
207Q00000X
Family Medicine Physician
Primary
28925
AZ
207Q00000X
Family Medicine Physician
CDR.0000986
CO
Other
Enumeration date
09/30/2005
Last updated
02/02/2026
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