Individual
DR. SCOTT ANTHONY DE LA FE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2401 E BASELINE RD STE 101, GILBERT, AZ 85234-2469
(480) 507-3380
(480) 507-0656
Mailing address
2401 E BASELINE RD STE 101, GILBERT, AZ 85234-2469
(480) 507-3380
(480) 507-0656
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
25050
CA
111N00000X
Chiropractor
Primary
7492
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2Z1916
AHCCCS
AZ
01
—
900171223
RAILROAD MEDICARE
AZ
01
—
9071491
PHCS
AZ
01
—
AZ0942130
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
10/27/2006
Last updated
07/09/2007
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