Individual
DR. SCOTT MICHAEL EASLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 W THOMAS RD STE 800, PHOENIX, AZ 85013-4217
(602) 406-1234
(602) 406-6368
Mailing address
PO BOX 33269, PHOENIX, AZ 85067-3269
(602) 406-4786
(916) 636-4358
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
61879
AZ
207QS0010X
Sports Medicine (Family Medicine) Physician
R4384
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/20/2012
Last updated
07/21/2022
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