Individual
SCOTT BRUCE EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5121 S COTTONWOOD ST, MURRAY, UT 84107-5701
(801) 507-3462
(801) 507-3458
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9171010-1206
UT
363AS0400X
Surgical Physician Assistant
9171010-1206
UT
Other
Enumeration date
08/12/2024
Last updated
01/30/2025
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