Provider Demographics
NPI:1003830936
Name:COMEAUX, SCOTT A (CFA, SA-C)
Entity Type:Individual
Prefix:
First Name:SCOTT
Middle Name:A
Last Name:COMEAUX
Suffix:
Gender:M
Credentials:CFA, SA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 S WILCOX ST
Mailing Address - Street 2:SUITE 428
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80104-1913
Mailing Address - Country:US
Mailing Address - Phone:303-908-5965
Mailing Address - Fax:303-663-0282
Practice Address - Street 1:94 E YUCCA HILLS RD
Practice Address - Street 2:
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80109-9607
Practice Address - Country:US
Practice Address - Phone:303-660-3536
Practice Address - Fax:303-663-0282
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Technologist