MEDICARE: SCARLET SPARKUHL DELIA DO

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	207Q00000X	Family Medicine Physician	DR.0057041	CO

General Provider Information

NPI Number	:	1023332756
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SCARLET SPARKUHL DELIA DO

Provider Business Mailing Address
First Line	:	1300 RIVERSIDE AVE STE 102
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80524-4351
Country	:	US
Telephone Number	:	970-224-1670
Fax Number	:	970-495-6218

Provider Business Practice Location Address
First Line	:	3519 RICHMOND DR
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80526
Country	:	US
Telephone Number	:	970-449-0951
Fax Number	:	970-823-9004

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

Provider Enumeration Date	:	03/24/2010
Last Update Date	:	02/04/2026

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Directions to “ SCARLET SPARKUHL DELIA DO” Practice Location

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