Individual
DR. SCOTT C WOLLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1982 WILLIAM STREET, FT. HARRISON, MT 59602
(801) 447-7792
Mailing address
555 FOOTHILL DR, SALT LAKE CITY, UT 84112-1106
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4989455-1205
UT
Other
Enumeration date
09/22/2006
Last updated
07/08/2007
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