Individual
ALAN J. SCHENNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1050 GAIL GARDNER WAY STE 300, PRESCOTT, AZ 86305-1640
(928) 717-5232
(928) 717-5238
Mailing address
PO BOX 10080, PRESCOTT, AZ 86304-0880
(928) 759-5987
(928) 458-2039
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
007190
AZ
207Q00000X
Family Medicine Physician
3654
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007190
ARIZONA LICENSE
AZ
05
—
260247
—
AZ
01
—
Z202481
MEDICARE
AZ
Enumeration date
04/04/2006
Last updated
07/21/2022
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