Individual
SCOTT WYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
6116 E. ARBOR AVE, SUITE 118, MESA, AZ 85206-5235
(480) 924-1552
(480) 830-8417
Mailing address
PO BOX 80217, PHOENIX, AZ 85060-0217
(602) 385-2115
(480) 418-3323
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0427
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
310160
—
AZ
01
—
AZ0194310
BCBS
AZ
01
—
P00275401
MEDICARE RAILROAD
AZ
Enumeration date
03/29/2006
Last updated
10/18/2022
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