Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | DR.0052566 | CO |
N | 207R00000X | Internist | DR.0052566 | CO |
N | 111NI0900X | Internist | DR.0052566 | CO |
NPI | 1093916496 |
---|---|
Provider Name | Dr. David Russell Scott |
First Address | Grand Junction, CO 81501-6129 |
Second Address | Grand Junction, CO 81501-6129 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2007 |
Last Update Date | 11/07/2013 |