Individual
MR. SCOTT DANIEL BURGNER
Active
Individual
MR. SCOTT DANIEL BURGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
CHW0000000656
AZ
172V00000X
Community Health Worker
Primary
G-1774
NM
247ZC0005X
Clinical Laboratory Director (Non-physician)
32D2133123
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1073138244
GROUP NPI
—
05
—
N0035451
—
NM
Enumeration date
04/01/2024
Last updated
10/14/2025
Update your record
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