Provider Demographics
NPI:1518940089
Name:BIEHLER, SCOTT J (DO)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:J
Last Name:BIEHLER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2202 N FORBES BLVD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85745-1412
Mailing Address - Country:US
Mailing Address - Phone:520-396-1360
Mailing Address - Fax:520-795-9043
Practice Address - Street 1:4892 N STONE AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704-5761
Practice Address - Country:US
Practice Address - Phone:520-396-1360
Practice Address - Fax:520-795-9043
Is Sole Proprietor?:No
Enumeration Date:2005-11-29
Last Update Date:2011-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ1779207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ238320Medicaid
C98148Medicare UPIN
105249Medicare ID - Type Unspecified