Individual
ILISE M SCOVILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RM
Contact information
Practice address
19029 E PLAZA DR, SUITE 252, PARKER, CO 80134-4018
(720) 319-0709
(720) 897-2882
Mailing address
19029 E PLAZA DRIVE, SUITE 252, PARKER, CO 80134
(720) 319-0709
(720) 897-2882
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
28
CO
Other
Enumeration date
08/03/2011
Last updated
08/03/2011
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