Provider Demographics
NPI:1750556338
Name:SCOTT, JUDITH C (MD)
Entity type:Individual
Prefix:DR
First Name:JUDITH
Middle Name:C
Last Name:SCOTT
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:215 S POWER RD STE 218
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85206-5238
Mailing Address - Country:US
Mailing Address - Phone:480-325-5885
Mailing Address - Fax:480-325-8898
Practice Address - Street 1:215 S POWER RD STE 218
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85206-5238
Practice Address - Country:US
Practice Address - Phone:480-325-5885
Practice Address - Fax:480-325-8898
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-24
Last Update Date:2013-01-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ36651207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology