Individual
MR. SCOTT SHOLEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
16601 N 40TH ST STE 204, PHOENIX, AZ 85032-3356
(602) 996-4747
Mailing address
16601 N 40TH ST STE 204, PHOENIX, AZ 85032-3356
(602) 996-4747
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
—
—
208600000X
Surgery Physician
008470
AZ
2086S0127X
Trauma Surgery Physician
Primary
008470
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007970
—
AZ
Enumeration date
06/24/2008
Last updated
07/17/2025
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