Individual
J. SCOTT MILLIKAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 W THOMAS RD STE 500, PHOENIX, AZ 85013-4220
(602) 406-4000
(602) 406-6498
Mailing address
500 W THOMAS RD STE 500, PHOENIX, AZ 85013-4220
(602) 406-4000
(602) 406-6498
Taxonomy
Speciality
Code
Description
License number
State
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
5293
MT
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
5293
MT
2086S0129X
Vascular Surgery Physician
5293
MT
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
63623
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000092110
BCBS PIN
MT
01
—
0109720
MDCD PIN
MT
01
—
105147400
MDCD PIN
WY
Enumeration date
10/23/2006
Last updated
04/16/2021
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