Individual
DR. SCOTT JOHN SAMUELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
473 CASTLE PINES AVE UNIT 1, JOHNSTOWN, CO 80534-7859
(970) 587-7881
(970) 587-7738
Mailing address
6801 W 20TH ST UNIT 101, GREELEY, CO 80634-9640
(970) 378-8000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DR.0035373
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000145425
—
CO
Enumeration date
08/19/2006
Last updated
03/04/2025
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