Individual
DR. SCOTT HARTLEY FREDRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
144 S 500 E, SLC, UT 84102-1907
(801) 463-7415
Mailing address
144 S 500 E, SLC, UT 84102-1907
(801) 463-7415
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
7536320-1205
UT
207P00000X
Emergency Medicine Physician
A106215
CA
Other
Enumeration date
07/25/2007
Last updated
10/23/2014
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