Provider Demographics
NPI:1841706447
Name:SCRIMGEOUR, DAVID (MS, L AC)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:SCRIMGEOUR
Suffix:
Gender:M
Credentials:MS, L AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:728 PEARL ST
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80302-5006
Mailing Address - Country:US
Mailing Address - Phone:303-413-9596
Mailing Address - Fax:
Practice Address - Street 1:728 PEARL ST
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80302-5006
Practice Address - Country:US
Practice Address - Phone:303-413-9596
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-18
Last Update Date:2017-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist