Individual
MYCHAEL SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
10099 RIDGEGATE PKWY STE 310, LONE TREE, CO 80124-5534
(303) 790-1800
Mailing address
10099 RIDGEGATE PKWY STE 310, LONE TREE, CO 80124-5534
(303) 790-1800
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
—
—
363A00000X
Physician Assistant
Primary
PA.0005215
CO
363AS0400X
Surgical Physician Assistant
PA.0005215
CO
Other
Enumeration date
09/10/2009
Last updated
06/05/2023
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