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Individual

SCOTT C FRISCHKNECHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
24 S 1100 E, SUITE 101, SALT LAKE CITY, UT 84102-1500
(801) 355-6468
(801) 355-3450
Mailing address
24 S 1100 E, SUITE 101, SALT LAKE CITY, UT 84102-1500
(801) 355-6468
(801) 355-3450

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
101147-1206
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1013901792
NPI
UT
Enumeration date
09/08/2005
Last updated
09/02/2011
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