Healthcare Provider Details

I. General information

NPI: 1427038330
Provider Name (Legal Business Name): SCOTT NEWTON HURLBERT M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/18/2006
Last Update Date: 09/26/2023
Certification Date: 09/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

175 S UNION BLVD STE 200
COLORADO SPRINGS CO
80910-3117
US

IV. Provider business mailing address

PO BOX 7702
LOVELAND CO
80537-0702
US

V. Phone/Fax

Practice location:
  • Phone: 719-372-5555
  • Fax: 719-545-1829
Mailing address:
  • Phone: 719-372-5555
  • Fax: 719-545-1829

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number34918
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: