Individual
RICHARD SCOTT BEVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
998 COUNTY ROAD 148, SMOOT, WY 83126
(801) 243-3801
(307) 886-5652
Mailing address
P O BOX 171258, SALT LAKE CITY, UT 84117-1258
(801) 243-3801
(307) 886-5652
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
58
WY
213E00000X
Podiatrist
92
UT
Other
Enumeration date
05/03/2007
Last updated
07/09/2007
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