Individual
SCOTT PINEGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7950 KIPLING ST STE 101, ARVADA, CO 80005-3925
(303) 425-4680
Mailing address
6744 NELSON ST, ARVADA, CO 80004-1426
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0005492
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA.0005462
STATE LICENSE NUMBER
CO
Enumeration date
07/18/2018
Last updated
07/18/2018
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