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Individual

MS. SARAH ANN SCAGNELLI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
5102 W CAMPBELL AVE, PHOENIX, AZ 85031-1703
(623) 848-5000
Mailing address
8022 N 11TH AVE, PHOENIX, AZ 85021-5627
(602) 254-3411
(602) 254-3411

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
1880
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3987220
EVERCARE
AZ
05
642050
AZ
01
A101436
HEALTHNET
AZ
01
AZ0728670
BLUE CROSS/BLUE SHIELD
AZ
Enumeration date
12/06/2005
Last updated
07/08/2007
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