Individual
SCOT ELLIOT CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10800 E GEDDES AVE STE 300, ENGLEWOOD, CO 80112-3895
(303) 761-9190
(720) 874-4462
Mailing address
10800 E GEDDES AVE STE 300, ENGLEWOOD, CO 80112-3895
(303) 761-9190
(720) 874-4462
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
04-42027
KS
2085R0202X
Diagnostic Radiology Physician
10684133-1205
UT
2085R0202X
Diagnostic Radiology Physician
23227
OK
2085R0202X
Diagnostic Radiology Physician
31572
NE
2085R0202X
Diagnostic Radiology Physician
Primary
61745
CO
2085R0202X
Diagnostic Radiology Physician
M9190
TX
2085R0202X
Diagnostic Radiology Physician
MD20472
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111257126
MEDICARE
KS
01
—
786784
MEDICARE
CO
01
—
786785
MEDICARE
CO
01
—
786786
MEDICARE
CO
01
—
786787
MEDICARE
CO
01
—
786789
MEDICARE
CO
01
—
786790
MEDICARE
CO
05
—
9000170776
—
CO
01
—
KA3249117
MEDICARE
KS
01
—
NA1214140
MEDICARE
NE
01
—
NA1215141
MEDICARE
NE
01
—
NA2517117
MEDICARE
NE
Enumeration date
01/17/2007
Last updated
12/13/2022
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