Individual
DR. SCOTT D AGRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2323 W ROSE GARDEN LN, PHOENIX, AZ 85027-2530
(602) 521-6200
(623) 842-5640
Mailing address
2323 W ROSE GARDEN LN, PHOENIX, AZ 85027-2530
(602) 521-6200
(623) 842-5640
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
22147
AZ
2085R0202X
Diagnostic Radiology Physician
Primary
22147
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150144
—
AZ
01
—
1Z7135
HEALTH NET OF AZ
AZ
01
—
AZ0877930
BCBSAZ
AZ
Enumeration date
03/08/2006
Last updated
11/04/2016
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