Individual
SCOTT F VAN POPPEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2601 E ROOSEVELT ST, PHOENIX, AZ 85008-4973
(602) 344-5892
Mailing address
3255 E ELWOOD ST, #110, PHOENIX, AZ 85034-7256
(602) 470-5043
(602) 470-5064
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
33845
AZ
207R00000X
Internal Medicine Physician
Primary
N6079
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
214057601
—
TX
05
—
214057602
—
TX
01
—
P00898581
RAILROAD
TX
Enumeration date
05/30/2006
Last updated
05/10/2011
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