Provider Demographics
NPI:1568446847
Name:BROWN, SCOTT F (PA)
Entity Type:Individual
Prefix:
First Name:SCOTT
Middle Name:F
Last Name:BROWN
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
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Mailing Address - Street 1:4550 E. BELL ROAD
Mailing Address - Street 2:SUITE 170
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85032
Mailing Address - Country:US
Mailing Address - Phone:480-443-8400
Mailing Address - Fax:480-443-8697
Practice Address - Street 1:9305 W. THOMAS ROAD
Practice Address - Street 2:SUITE 505
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85037
Practice Address - Country:US
Practice Address - Phone:480-443-8400
Practice Address - Fax:480-443-8697
Is Sole Proprietor?:No
Enumeration Date:2005-12-01
Last Update Date:2013-04-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ1256363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ1256OtherARIZONA PA LICENSE
AZS37876Medicare UPIN