Individual
COSIMO GINO SCIOTTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2222 N NEVADA AVE, COLORADO SPRINGS, CO 80907
(719) 776-5000
Mailing address
PO BOX 744127, DALLAS, TX 75374
(719) 776-5816
(719) 776-2108
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
21075
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01210756
—
CO
Enumeration date
04/13/2006
Last updated
12/17/2007
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