Individual
JOHN SCOTT RAYMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
550 E 1400 N, STE P, LOGAN, UT 84341-2406
(435) 753-4541
(435) 753-2427
Mailing address
550 E 1400 N, STE P, LOGAN, UT 84341-2406
(435) 753-4541
(435) 753-2427
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
164841-1205
UT
Other
Enumeration date
07/20/2006
Last updated
07/08/2007
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