Davison Tracy, Brandon Scott

Davison Tracy, Brandon Scott is an individual health care provider with primary practice located at 2975 Roslyn St Suite 100, Denver CO 80238-3326. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Davison Tracy, Brandon Scott can be contacted via phone (303) 399-7900.

Contact Information

Primary practice address
2975 Roslyn St Suite 100 Denver CO 80238-3326
Fax: (303) 399-7999
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 39563 Colorado

Profile Details

NPI number 1841277514
LBN Legal business name Davison Tracy, Brandon Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 23rd, 2005
Last updated Nov 21st, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841277514 NPPES
Colorado MEDICAID 24006254

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