Individual
MARY DIANE SCOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
300 N HOSPITAL DR, PRICE, UT 84501-4218
(435) 637-4800
Mailing address
3197 E 4250 S, PRICE, UT 84501-8008
(435) 637-7679
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
284390-3102
UT
Other
Enumeration date
03/16/2009
Last updated
03/16/2009
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