Individual
SCOTT A TATUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1160 E 3900 S, SUITE 2000, SALT LAKE CITY, UT 84124-1202
(801) 266-3418
(801) 288-4444
Mailing address
127 S 500 E, SUITE 600, SALT LAKE CITY, UT 84102-1971
(801) 587-6336
(801) 715-8228
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
10064
GA
363AS0400X
Surgical Physician Assistant
377832-1206
UT
Other
Enumeration date
06/08/2006
Last updated
02/21/2023
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