Individual
SPENCER CASEY SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5700 E HIGHWAY 90, SIERRA VISTA, AZ 85635-9110
(520) 263-2000
Mailing address
4218 E FOUNTAIN ST, MESA, AZ 85205-5027
(480) 828-2014
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
011604
AZ
390200000X
Student in an Organized Health Care Education/Training Program
011604
AZ
Other
Enumeration date
05/31/2023
Last updated
05/07/2025
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