Provider Demographics
NPI:1780804856
Name:ZIPORIN, SCOTT J (MD)
Entity type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:J
Last Name:ZIPORIN
Suffix:
Gender:
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:1140 EDWARDS VILLAGE BLVD. SUITE B204 X765
Mailing Address - Street 2:
Mailing Address - City:EDWARDS
Mailing Address - State:CO
Mailing Address - Zip Code:81632
Mailing Address - Country:US
Mailing Address - Phone:970-926-1003
Mailing Address - Fax:
Practice Address - Street 1:1140 EDWARDS VILLAGE BLVD UNIT B204
Practice Address - Street 2:
Practice Address - City:EDWARDS
Practice Address - State:CO
Practice Address - Zip Code:81632-5562
Practice Address - Country:US
Practice Address - Phone:970-926-1003
Practice Address - Fax:970-569-2541
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-30
Last Update Date:2025-03-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
COCDR00018452086S0129X, 2086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery