Provider Demographics
NPI:1841434073
Name:SCOTT, MARK ANDREW (DC)
Entity type:Individual
Prefix:DR
First Name:MARK
Middle Name:ANDREW
Last Name:SCOTT
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5125 S COLLEGE AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525-3959
Mailing Address - Country:US
Mailing Address - Phone:970-482-1175
Mailing Address - Fax:970-372-6459
Practice Address - Street 1:5125 S COLLEGE AVE
Practice Address - Street 2:SUITE A
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-3959
Practice Address - Country:US
Practice Address - Phone:970-482-1175
Practice Address - Fax:970-372-6459
Is Sole Proprietor?:No
Enumeration Date:2009-05-01
Last Update Date:2011-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6329111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor