Organization
SCOT F. SICKBERT, M.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOT FRANCIS SICKBERT M.D. (PHYSICIAN)
(719) 761-0397
Entity
Organization
Contact information
Practice address
325 PARKSIDE DR, COLORADO SPRINGS, CO 80910-3134
(719) 761-0397
(719) 473-7475
Mailing address
325 PARKSIDE DR, COLORADO SPRINGS, CO 80910-3134
(719) 761-0397
(719) 473-7475
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25001
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
68902573
—
CO
Enumeration date
10/05/2007
Last updated
10/05/2007
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