Individual
WHITNEY SCURLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1106 E PROSPECT RD, SUITE 100, FORT COLLINS, CO 80525-5304
(970) 482-4373
(970) 484-5682
Mailing address
1106 E PROSPECT RD, SUITE 100, FORT COLLINS, CO 80525-5304
(970) 482-4373
(970) 484-5682
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3244
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
63188244
—
CO
Enumeration date
08/18/2011
Last updated
01/20/2015
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