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Individual

SCOTT RICHARD OWEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A.

Contact information

Practice address
7344 E DEER VALLEY RD STE 100, SCOTTSDALE, AZ 85255-7456
(480) 513-1042
(480) 513-1043
Mailing address
7344 E DEER VALLEY RD STE 100, SCOTTSDALE, AZ 85255-7456
(480) 513-1042
(480) 513-1043

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
3770
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3770
STATE LICENSE
AZ
Enumeration date
11/30/2007
Last updated
08/01/2011
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