NPI 1003598608

Brynna Scout Fullerton Vergara

Practitioner Clinical Pathology Physician Cottonwood, AZ

Practice location

Address: 101 S Airpark Rd, Cottonwood, AZ 86326-4182
Phone: (928) 639-2694
Mailing address: 101 Airpark Road Suite M, Cottonwood, AZ 86326

Registered specialties

Clinical Pathology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ZC0006X Licence SLPA14693 (AZ)

Other Pathology providers in Arizona →

Registry record

NPI: 1003598608
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Aug 2023
Record last updated: 2 Aug 2023

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.