Provider Demographics
NPI:1750387940
Name:SCRIBNER, TROY A (MD)
Entity type:Individual
Prefix:
First Name:TROY
Middle Name:A
Last Name:SCRIBNER
Suffix:
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 1:438 E SALMON RIVER DR
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93730-0858
Mailing Address - Country:US
Mailing Address - Phone:559-434-0598
Mailing Address - Fax:559-299-2928
Practice Address - Street 1:6741 N WILLOW AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93710-5955
Practice Address - Country:US
Practice Address - Phone:559-299-2950
Practice Address - Fax:559-299-2928
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-22
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA70338207KA0200X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergy
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
H29116Medicare UPIN