Healthcare Provider Details

I. General information

NPI: 1437205010
Provider Name (Legal Business Name): SCOTT MELVIN VANEK MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/26/2007
Last Update Date: 01/13/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 PRAIRIE CENTER PKWY
BRIGHTON CO
80601-4006
US

IV. Provider business mailing address

PO BOX 668
ARVADA CO
80001-0668
US

V. Phone/Fax

Practice location:
  • Phone: 303-498-1600
  • Fax:
Mailing address:
  • Phone: 303-422-9438
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number46580
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: