SCOTT R DERENNE

PHOENIX, AZ
NPI1851303622
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Additional Taxonomies363A00000X Physician Assistant
(Licence: WI  913)
Enumeration Date2006-08-12
Last Update Date2019-07-10
Business Address
SCOTT R DERENNE PA-C (Physician Assi
15225 S 15TH AVE
PHOENIX, AZ 85045-1904
Phone number: 920-737-4014
Mailing Address
SCOTT R DERENNE PA-C (Physician Assi
15225 S 15TH AVE
PHOENIX, AZ 85045-1904
Phone number: 920-737-4014
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