Provider Demographics
NPI:1811191760
Name:STRATMANN, SCOTT GREGORY (DC)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:GREGORY
Last Name:STRATMANN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6025 N 27TH AVE
Mailing Address - Street 2:SUITE 16
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85017-1763
Mailing Address - Country:US
Mailing Address - Phone:602-242-2050
Mailing Address - Fax:602-242-1564
Practice Address - Street 1:6025 N 27TH AVE
Practice Address - Street 2:SUITE 16
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85017-1763
Practice Address - Country:US
Practice Address - Phone:602-242-2050
Practice Address - Fax:602-242-1564
Is Sole Proprietor?:No
Enumeration Date:2007-06-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4860111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor