Scott R Derenne, PA-CPHYSICIANASSI
Scott R Derenne, PA-CPHYSICIANASSI is a Physician Assistant in Phoenix, Arizona. Licensed in Wisconsin. Registered with an NPI since 2006.
- Licensed in
- WI
- In the registry since
- 2006
- Specialties on file
- 2
Practice location Address checks out
15225 S 15th AvePhoenix, AZ 85045-1904
Phone: (920) 737-4014
Fax: (920) 288-8355
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X |
|---|---|
| Physician Assistant | Taxonomy 363A00000X · Licence 913 (WI) |
Record details
| NPI number | 1851303622 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA-CPHYSICIANASSI |
| Sole proprietor | No |
| NPI enumerated | August 12, 2006 |
| Last updated in NPPES | July 10, 2019 |
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