Individual
SCOTT W MATTSSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6071 E WOODMEN RD, SUITE 340, COLORADO SPRINGS, CO 80923-2607
(719) 591-8100
(719) 591-8101
Mailing address
6071 E WOODMEN RD, SUITE 340, COLORADO SPRINGS, CO 80923-2607
(719) 591-8100
(719) 591-8101
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
DR0053751
CO
390200000X
Student in an Organized Health Care Education/Training Program
LL1887
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18803547
—
CO
Enumeration date
06/24/2008
Last updated
09/09/2014
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