NPI 1417019787

Lifescape Medical Associates

Organisation Exclusive Provider Organization Scottsdale, AZ

Practice location

Address: 8757 E Bell Rd, Scottsdale, AZ 85260-1322
Phone: (480) 860-5500
Fax: (480) 860-5260

Authorised official

Name: Norman J Bizon
Title: Physicians Assistant
Phone: (480) 860-5500

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 35591 (AZ)

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Registry record

NPI: 1417019787
Entity type: Organization
NPI issued: 14 Dec 2006
Record last updated: 4 Dec 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.