MEDICARE: ROBERT SCOTT DILL PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	1856	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1467478602
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT SCOTT DILL PA-C

Provider Business Mailing Address
First Line	:	2222 N NEVADA AVE
Second Line	:	FRONT RANGE EMERGENCY SPECIALIST
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80907-6819
Country	:	US
Telephone Number	:	719-475-0299
Fax Number	:

Provider Business Practice Location Address
First Line	:	1115 ELKTON DR STE 300
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80907-3597
Country	:	US
Telephone Number	:	719-373-9703
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/14/2006
Last Update Date	:	03/17/2018

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