| Scott J Tushla Md | |
|
4711 Opus Dr Ste 200 Colorado Springs CO 80906-8718 | |
| (719) 418-5505 | |
| (719) 308-2745 |
| Full Name | Scott J Tushla Md |
|---|---|
| Speciality | Family Medicine |
| Location | 4711 Opus Dr Ste 200, Colorado Springs, Colorado |
| Authorized Official Name and Position | Scott J Tushla (DR) |
| Authorized Official Contact | 7194185505 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Scott J Tushla Md 4711 Opus Dr Ste 200 Colorado Springs CO 80906-8718 Ph: (719) 418-5505 | Scott J Tushla Md 4711 Opus Dr Ste 200 Colorado Springs CO 80906-8718 Ph: (719) 418-5505 |
| NPI Number | 1063906238 |
|---|---|
| Provider Enumeration Date | 06/20/2018 |
| Last Update Date | 02/04/2022 |
| Medicare PECOS PAC ID | 9638426174 |
|---|---|
| Medicare Enrollment ID | O20180716001429 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063906238 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | DR0042737 (Colorado) | Primary |
| Provider Name | Scott J Tushla |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992857577 PECOS PAC ID: 6103884432 Enrollment ID: I20150923001413 |
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