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Individual

SCOTT E VINCENT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
601 CENTER AVE, GRAND JUNCTION, CO 81501-2041
(970) 263-7348
(970) 241-1674
Mailing address
601 CENTER AVE, GRAND JUNCTION, CO 81501-2041
(970) 263-7348
(970) 241-1674

Taxonomy

Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
33850
CO
207Q00000X
Family Medicine Physician
Primary
33850
CO
2086S0129X
Vascular Surgery Physician
33850
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1338508
CO
Enumeration date
01/24/2007
Last updated
02/22/2013
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