Individual
MR. SCOTT DAVID HYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1480 E LINCOLN RD, IDAHO FALLS, ID 83401-2128
(208) 525-8686
Mailing address
1480 E LINCOLN RD, IDAHO FALLS, ID 83401-2128
(208) 525-8686
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODP-100369
ID
Other
Enumeration date
06/08/2016
Last updated
06/08/2016
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