Individual
DR. SCOTT BRYDSON SHARPLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
18404 N TATUM BLVD, SUITE 101, PHOENIX, AZ 85032-1510
(602) 992-1900
(602) 485-7450
Mailing address
PO BOX 9907, PHOENIX, AZ 85068-0907
(623) 434-6155
(623) 434-6149
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
L7557
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20-4923281
TAX ID
TX
Enumeration date
05/04/2006
Last updated
09/06/2012
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