Individual
SCOTT C CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
777 BANNOCK ST, DENVER, CO 80204-4597
(303) 436-6000
Mailing address
13193 SPICA DR, LITTLETON, CO 80124-2636
(720) 252-4347
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
164324
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
50404351
—
CO
01
—
P00426103
RR MEDICARE
NM
Enumeration date
07/16/2006
Last updated
03/17/2021
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