Provider Demographics
NPI:1134397995
Name:CONLEY, SCOTT PAUL (MD)
Entity type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:PAUL
Last Name:CONLEY
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5180 E PARK VISTA DR
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85706-8670
Mailing Address - Country:US
Mailing Address - Phone:520-991-5910
Mailing Address - Fax:
Practice Address - Street 1:3073 N 196TH AVE
Practice Address - Street 2:
Practice Address - City:BUCKEYE
Practice Address - State:AZ
Practice Address - Zip Code:85396-6403
Practice Address - Country:US
Practice Address - Phone:520-991-5910
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-14
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ43706208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice