# SCOTT J TUSHLA MD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063906238
- **Authorized official:** SCOTT J TUSHLA MD (DR)
- **Authorized official phone:** (719) 418-5505

## Contact information

- **Practice address:** 4711 OPUS DR STE 200, COLORADO SPRINGS, CO 80906-8718
- **Practice address phone:** (719) 418-5505
- **Practice address fax:** (719) 308-2745
- **Mailing address:** 4711 OPUS DR STE 200, COLORADO SPRINGS, CO 80906-8718
- **Mailing address phone:** (719) 418-5505
- **Mailing address fax:** (719) 308-2754

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | DR0042737 | CO | Yes |

## Other

- **Enumeration date:** 06/20/2018
- **Last updated:** 02/04/2022