Search › Arizona › 363A00000X
Scott Derenne, PA-C (PHYSICIAN ASSI
NPI 1851303622 · on the registry since 2006
Practice
- Address
- 15225 S 15th Ave
Phoenix, AZ 85045 - Phone
- (920) 737-4014
- Fax
- (920) 288-8355
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-07-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona