Individual
SCOTT STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 N MARKET PLACE DR, CENTERVILLE, UT 84014-1752
(801) 292-1546
Mailing address
200 N MARKET PLACE DR, CENTERVILLE, UT 84014-1752
(801) 292-1546
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10460732-1701
UT
Other
Enumeration date
11/19/2020
Last updated
11/19/2020
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