Individual
SCOTT E. MCINTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
540 ARAPEEN DR, STE #110, SALT LAKE CITY, UT 84108
(801) 582-4268
(801) 582-4269
Mailing address
540 ARAPEEN DR, STE #110, SALT LAKE CITY, UT 84108-1250
(801) 582-4268
(801) 582-4269
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5892280-1205
UT
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
5892280-1205
UT
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
5892280-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
134366
AHCCCS MEDICAID
UT
01
—
300528
ALTIUS
UT
01
—
58922801201001
BCBS
UT
01
—
90073
HEALTHY U MEDICAID
UT
01
—
90509
PEHP
UT
01
—
A007
TRICARE
UT
05
—
D6308
—
UT
01
—
MD542OK
ALASKA MEDICAID
UT
01
—
P00387144
RAILROAD MEDICARE
UT
Enumeration date
10/04/2006
Last updated
11/20/2021
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