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Individual

SCOTT WILLIAM SIVERHUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
18444 N 25TH AVE, STE 210, PHOENIX, AZ 85023-1264
(623) 537-5600
(866) 939-2673
Mailing address
18444 N 25TH AVE, STE 310, PHOENIX, AZ 85023-1266
(623) 573-5600
(866) 939-2673

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
37682
AZ
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
37682
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
321699
AZ
01
5550830001
MEDICARE NSC SCW
AZ
01
5550830003
MEDICARE NSC PEORIA
AZ
01
5550830007
MEDICARE NSC DV
AZ
01
5550830010
MEDICARE NSC GILBERT
AZ
01
5550830011
MEDICARE NSC CENTRAL
AZ
01
5550830012
MEDICARE NSC SPINE CENTER
AZ
Enumeration date
11/17/2005
Last updated
04/23/2024
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