Provider Demographics
NPI:1164672234
Name:TROY A SCRIBNER MD INC
Entity Type:Organization
Organization Name:TROY A SCRIBNER MD INC
Other - Org Name:SCRIBNER ALLERGY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TROY
Authorized Official - Middle Name:
Authorized Official - Last Name:SCRIBNER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:559-299-2950
Mailing Address - Street 1:438 E SALMON RIVER DR
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93730-0858
Mailing Address - Country:US
Mailing Address - Phone:559-434-0598
Mailing Address - Fax:559-299-2928
Practice Address - Street 1:6741 N WILLOW AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93710-5955
Practice Address - Country:US
Practice Address - Phone:559-299-2950
Practice Address - Fax:559-299-2928
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-25
Last Update Date:2010-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA70338207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty