Individual
DR. SCOTT DAVID WILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
325 ROUTE 70 E, CHERRY HILL, NJ 08034
(856) 309-8508
(856) 309-8556
Mailing address
3200 E CAMELBACK RD STE 250, PHOENIX, AZ 85018-2327
(602) 933-1813
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
25MA10383700
NJ
2085P0229X
Pediatric Radiology Physician
Primary
53868
AZ
2085P0229X
Pediatric Radiology Physician
C1-0012759
DE
2085P0229X
Pediatric Radiology Physician
MD464892
PA
2085R0202X
Diagnostic Radiology Physician
BP10040578
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
588799
—
AZ
Enumeration date
05/14/2011
Last updated
07/21/2022
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