Individual
DR. SCOTT WEST RALLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
324 10TH AVE, SUITE 100, SALT LAKE CITY, UT 84103-2853
(801) 408-5155
(801) 408-5156
Mailing address
324 10TH AVE, SUITE 100, SALT LAKE CITY, UT 84103-2853
(801) 408-5155
(801) 408-5156
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
1767501205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529138382002
—
UT
Enumeration date
06/14/2006
Last updated
01/03/2012
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