Scott Mathis, OWNER

NPI #1932615044 in Fountain, Colorado

Provider Information

NPI Number: 1932615044
Entity Type: Individual
Name: Scott Mathis, OWNER
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Credential: OWNER
Enumeration Date: Dec 27, 2017
Last Updated: Dec 27, 2017

Practice Location

Address: 7046 STOWE CIR
City: Fountain
State: Colorado
ZIP Code: 80817-1338
Phone: (719) 641-3999

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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