Individual
DR. JACK CALVIN SCOLARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2045 N FRANKLIN ST, DENVER, CO 80205-5437
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
DR.0068006
CO
207RG0100X
Gastroenterology Physician
Primary
DR.0068006
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
029623
KAISER COMMERCIAL NUMBER
CO
05
—
9000174011
—
CO
Enumeration date
03/22/2019
Last updated
07/30/2025
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