Individual
SCOTT E FAULKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2350 MEADOWS BLVD, CASTLE ROCK, CO 80109-8405
(719) 776-8040
Mailing address
2350 MEADOWS BLVD, CASTLE ROCK, CO 80109-8405
(719) 776-8040
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
39644
CO
207R00000X
Internal Medicine Physician
Primary
67330
AZ
207R00000X
Internal Medicine Physician
DR.0039644
CO
208M00000X
Hospitalist Physician
DR.0039644
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110235029
RAILROAD MEDICARE
CO
05
—
82506779
—
CO
Enumeration date
04/03/2006
Last updated
12/13/2023
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