Provider Demographics
NPI:1417166638
Name:SCOTT, DENISE JEAN
Entity Type:Individual
Prefix:MISS
First Name:DENISE
Middle Name:JEAN
Last Name:SCOTT
Suffix:
Gender:F
Credentials:
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Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:20739 WEST SCOTT ROAD
Mailing Address - Street 2:P.O. BOX 2122
Mailing Address - City:POSTON
Mailing Address - State:AZ
Mailing Address - Zip Code:85371-2122
Mailing Address - Country:US
Mailing Address - Phone:928-669-2137
Mailing Address - Fax:928-669-3333
Practice Address - Street 1:12033 AGENCY RD
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:AZ
Practice Address - Zip Code:85344-7718
Practice Address - Country:US
Practice Address - Phone:928-669-2137
Practice Address - Fax:928-669-3333
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician