Individual
DR. SCOTT W CALCAGNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
400 W 16TH ST, PUEBLO, CO 81003-2745
(719) 584-4306
(719) 595-7886
Mailing address
400 W 16TH ST, PUEBLO, CO 81003-2745
(719) 584-4306
(719) 595-7886
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
5101017031
MI
207P00000X
Emergency Medicine Physician
Primary
DR.0052392
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5101017031
MEDICAL LISENCE
MI
Enumeration date
08/27/2007
Last updated
09/24/2013
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