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Individual

DR. SCOTT J. TESORO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
711 E VALLEY RD, SUITE 202A, BASALT, CO 81621-8370
(970) 927-9204
(970) 927-9238
Mailing address
711 E VALLEY RD, SUITE 202A, BASALT, CO 81621-8370
(970) 927-9204
(970) 927-9238

Taxonomy

Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
4090
CO

Other

Enumeration date
08/31/2006
Last updated
07/08/2007
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