Individual
DR. SCOTT BRETT HUMPHERYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1928 N 1120 W, PROVO, UT 84604
(801) 225-3095
(801) 374-6254
Mailing address
368 N 780 E, LINDON, UT 84042
(801) 225-3095
(801) 374-6254
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
3267960501
UT
Other
Enumeration date
08/17/2006
Last updated
07/08/2007
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