Provider Demographics
NPI:1760748560
Name:PLUMMER, SCOTT BENJAMIN (DVM)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:BENJAMIN
Last Name:PLUMMER
Suffix:
Gender:M
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4202 E RAYMOND ST
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85040-1935
Mailing Address - Country:US
Mailing Address - Phone:602-437-1488
Mailing Address - Fax:602-437-5425
Practice Address - Street 1:4202 E RAYMOND ST
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85040-1935
Practice Address - Country:US
Practice Address - Phone:602-437-1488
Practice Address - Fax:602-437-5425
Is Sole Proprietor?:No
Enumeration Date:2012-04-05
Last Update Date:2012-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3028174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian