Individual
SCOTT LAYLE CARBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4102 PINION DIRVE, USAF ACADEMY, CO 80840
(719) 333-5973
Mailing address
8851 WOLF LAKE DR, COLORADO SPRINGS, CO 80920-5467
(719) 282-6656
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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