Individual
DR. SCOTT LOREN SELCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
10001 S EASTERN AVE STE 410, HENDERSON, NV 89052-3908
(800) 975-2168
(702) 778-6455
Mailing address
10001 S EASTERN AVE STE 410, HENDERSON, NV 89052-3908
(800) 975-2168
(702) 778-6455
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
11189
NV
2084V0102X
Vascular Neurology Physician
Primary
11189
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100504507
—
NV
05
—
1881663763
—
AZ
05
—
1881663763
—
NV
05
—
1881663763
—
UT
05
—
971508
—
AZ
05
—
XPY205008
—
CA
Enumeration date
03/14/2006
Last updated
05/08/2025
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