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NPI Code Detail

MEDICARE: SCOTT E ROLLINS MD

MEDICARE: SCOTT E ROLLINS MD
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
1207Q00000XFamily Medicine Physician32966CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1ROR3508OTHERCOBLUE CROSS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1902954373
Entity Type Code : Individual
Provider Name (Legal Business Name) : SCOTT E ROLLINS MD
Provider Business Mailing Address
First Line : 58128 HIGHWAY 330
Second Line :
City : COLLBRAN
State : CO
Zip : 81624-9502
Country : US
Telephone Number : 970-254-1686
Fax Number :
Provider Business Practice Location Address
First Line : 58128 HIGHWAY 330
Second Line :
City : COLLBRAN
State : CO
Zip : 81624-9502
Country : US
Telephone Number : 970-254-1686
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2007
Last Update Date : 12/06/2007

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Directions to “ SCOTT E ROLLINS MD” Practice Location

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