Healthcare Provider Details

I. General information

NPI: 1316473408
Provider Name (Legal Business Name): CHRISTOPHER MICHAEL SCOTTEN D.P.M.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/10/2017
Last Update Date: 06/14/2021
Certification Date: 06/14/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 S JACKSON ST STE 310
DENVER CO
80209-3134
US

IV. Provider business mailing address

7505 VILLAGE SQUARE DR STE 101
CASTLE PINES CO
80108-3693
US

V. Phone/Fax

Practice location:
  • Phone: 303-805-5156
  • Fax: 303-805-5157
Mailing address:
  • Phone: 303-805-5156
  • Fax: 303-805-5157

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberPOD0000854
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: