Provider Demographics
NPI:1679647622
Name:SCOTTSDALE MEDICAL SPECIALISTS LTD.
Entity Type:Organization
Organization Name:SCOTTSDALE MEDICAL SPECIALISTS LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:TORIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-212-5219
Mailing Address - Street 1:3501 N SCOTTSDALE RD STE 300
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-5638
Mailing Address - Country:US
Mailing Address - Phone:480-212-5219
Mailing Address - Fax:480-949-0147
Practice Address - Street 1:3501 N SCOTTSDALE RD STE 300
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-5638
Practice Address - Country:US
Practice Address - Phone:480-212-5219
Practice Address - Fax:480-949-0147
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty