Organization
JOSEPH M SCOGGIN MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRENDA BLAU (OFFICE MANAGER)
(480) 343-1141
Entity
Organization
Contact information
Practice address
2905 W WARNER RD, STE 19, CHANDLER, AZ 85224-1674
(480) 219-1965
(480) 248-7772
Mailing address
2905 W WARNER RD, STE 19, CHANDLER, AZ 85224-1674
(480) 219-1965
(480) 248-7772
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
30290
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
791196
—
AZ
Enumeration date
05/30/2007
Last updated
04/17/2009
Update your record
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