Organization
R. SCOTT BEVAN DPM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD SCOTT BEVAN DPM (PRESIDENT)
(801) 243-3801
Entity
Organization
Contact information
Practice address
998 COUNTY ROAD 148, SMOOT, WY 83126
(801) 243-3801
(307) 886-5652
Mailing address
PO BOX 171258, SALT LAKE CITY, UT 84117-1258
(801) 243-3801
(307) 886-5652
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
—
—
Other
Enumeration date
04/01/2010
Last updated
04/01/2010
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