Provider Demographics
NPI:1679545982
Name:SCRIBNER, DENNIS R JR (MD)
Entity type:Individual
Prefix:
First Name:DENNIS
Middle Name:R
Last Name:SCRIBNER
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7425 E SHEA BLVD STE 107
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-6411
Mailing Address - Country:US
Mailing Address - Phone:480-750-0095
Mailing Address - Fax:
Practice Address - Street 1:7425 E SHEA BLVD STE 107
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-6411
Practice Address - Country:US
Practice Address - Phone:480-750-0095
Practice Address - Fax:480-750-0097
Is Sole Proprietor?:No
Enumeration Date:2006-02-02
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101-236140207VX0201X
AZ43295207VX0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ789370Medicaid
VA1679545982Medicaid
013096C19Medicare PIN
VA1679545982Medicaid
AZ789370Medicaid
VA003641C95Medicare PIN