Individual
STACEY SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
777 BANNOCK ST, DENVER, CO 80204-4597
(303) 436-6000
Mailing address
5100 S GRAYSTONE AVE UNIT 213, SIOUX FALLS, SD 57108-7553
(720) 318-9771
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1182
SD
363A00000X
Physician Assistant
Primary
PA.0007358
CO
Other
Enumeration date
06/26/2019
Last updated
01/04/2023
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