Healthcare Provider Details

I. General information

NPI: 1922045087
Provider Name (Legal Business Name): DANNY DEE SCOTT M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/31/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1055 CLERMONT ST 117
DENVER CO
80220-3808
US

IV. Provider business mailing address

1055 CLERMONT ST 117
DENVER CO
80220-3808
US

V. Phone/Fax

Practice location:
  • Phone: 303-393-2819
  • Fax: 303-393-5220
Mailing address:
  • Phone: 303-393-2819
  • Fax: 303-393-5220

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number31984
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberH6592
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: