Scot Gerald Fechtel
Sports Medicine Doctor
4530 E Muirwood Dr Suite 111
Phoenix
, Arizona 85048-7639
Scot Gerald Fechtel
Sports Medicine Doctor
4530 E Muirwood Dr Suite 111
Phoenix
, Arizona 85048-7639
(480) 460-0558
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About
Features
Specialties
- Sports Medicine Doctor
Languages spoken
- English
Location
First Address
- Scot Gerald Fechtel
- 14611 S 8th St
- Phoenix, AZ
- Zip : 85048-6342
- Phone : (480) 460-0558
Second Address
- Scot Gerald Fechtel
- 4530 E Muirwood Dr Suite 111
- Phoenix, AZ
- Zip : 85048-7639
- Fax : (480) 961-2382
- Phone : (480) 961-2365
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204C00000X | Sports Medicine Doctor | 25410 | AZ |
National Provider Identifier
| NPI | 1881618569 |
|---|---|
| Provider Name | Scot Gerald Fechtel |
| First Address | Phoenix, AZ 85048-6342 |
| Second Address | Phoenix, AZ 85048-7639 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/07/2006 |
| Last Update Date | 11/07/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.