Provider Demographics
NPI:1336405240
Name:JUST, SCOTT R (NMD)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:R
Last Name:JUST
Suffix:
Gender:M
Credentials:NMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:9416 E WOOD DR
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-4363
Mailing Address - Country:US
Mailing Address - Phone:480-326-1569
Mailing Address - Fax:
Practice Address - Street 1:8580 E SHEA BLVD STE 110
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-6681
Practice Address - Country:US
Practice Address - Phone:480-946-9222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-04
Last Update Date:2019-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ12-1297175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath