Individual
MR. ROBERT SCOTT FLETCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
5373 W LAKE PARK BLVD, WEST VALLEY, UT 84120-8208
(801) 902-8080
Mailing address
5373 W LAKE PARK BLVD, WEST VALLEY CITY, UT 84120-8208
(801) 902-8080
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
81915553102
UT
363LF0000X
Family Nurse Practitioner
Primary
8191555-4405
UT
Other
Enumeration date
07/15/2021
Last updated
09/08/2021
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