Provider Demographics
NPI:1922268119
Name:COLBY-SCOTT, CANDICE COLLEEN (MD)
Entity Type:Individual
Prefix:DR
First Name:CANDICE
Middle Name:COLLEEN
Last Name:COLBY-SCOTT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 JOE MANN BLVD STE H
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48642-8909
Mailing Address - Country:US
Mailing Address - Phone:989-794-5405
Mailing Address - Fax:
Practice Address - Street 1:801 JOE MANN BLVD STE H
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:MI
Practice Address - Zip Code:48642-8909
Practice Address - Country:US
Practice Address - Phone:989-835-8720
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-11
Last Update Date:2021-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301105334207YX0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0901XAllopathic & Osteopathic PhysiciansOtolaryngologyOtology & Neurotology