Individual
DR. SCOTT PATRICK MARKHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1680 WILLOW CREEK RD, PRESCOTT, AZ 86301-1108
(928) 778-3950
(928) 778-3999
Mailing address
3192 WILLOW CREEK RD, PRESCOTT, AZ 86301-6610
(928) 445-1234
(928) 778-3999
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4498
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03-C0001215
MEDICARE CCN
AZ
01
—
033176-001
MERCYCARE
—
01
—
190721
AHCCCS
—
05
—
190721
—
AZ
01
—
2Z6546
HEALTHNET
—
01
—
3421045
CIGNA
—
01
—
4498
PHYSICIAN MEDICAL LICENSE
AZ
01
—
49779
AVESIS
AZ
01
—
572818
RAN & AMN
—
01
—
7442967
AETNA
—
01
—
860427082
TAX ID
AZ
01
—
866291-9714
HUMANA
—
01
—
A00148
EYEMED
AZ
01
—
DM2NNP
ARIZONA FOUNDATION
—
01
—
NNP12599
UNIVERSAL HEALTH CARE
AZ
Enumeration date
10/26/2006
Last updated
09/29/2020
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