Individual
DR. C SCOTT RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4105 BRIARGATE PKWY STE 200, COLORADO SPRINGS, CO 80920-3484
(719) 599-4692
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
40143
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38454351
—
CO
Enumeration date
07/19/2005
Last updated
07/31/2018
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