Individual
SCOTT ALLAN LEATHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
680 E MAIN ST STE 201, LEHI, UT 84043-2251
(801) 768-8800
Mailing address
680 E MAIN ST, STE 201, LEHI, UT 84043-2251
(801) 529-8319
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
8625964-4405
UT
Other
Enumeration date
06/14/2017
Last updated
07/10/2017
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