Organization
SCOTT E. FAULKNER, M.D., PC
Active
Other names
Fort Morgan Internal Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT E FAULKNER M.D. (OWNER)
(970) 542-0360
Entity
Organization
Contact information
Practice address
500 MAIN ST, FORT MORGAN, CO 80701-2130
(970) 542-0360
(970) 542-0366
Mailing address
PO BOX 117, FORT MORGAN, CO 80701-0117
(970) 542-0360
(970) 542-0366
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
39644
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110235029
RAILROAD MEDICARE
CO
05
—
82506779
—
CO
Enumeration date
09/15/2006
Last updated
02/14/2012
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