Organization
BOUNTIFUL INTERNAL MEDICINE & PULMONOLOGY ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT SOUTHWORTH MD (MD)
(801) 294-9333
Entity
Organization
Contact information
Practice address
520 MEDICAL DR, SUITE 200, BOUNTIFUL, UT 84010-4968
(801) 294-9333
Mailing address
PO BOX 1468, BOUNTIFUL, UT 84011-1468
(801) 294-9333
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Enumeration date
04/24/2008
Last updated
04/29/2009
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