Individual
DR. JARED STEPHAN SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2060 E 25TH ST, IDAHO FALLS, ID 83404-6490
(208) 522-4274
(208) 522-4274
Mailing address
856 NEWGATE DR, AMMON, ID 83406-4768
(208) 523-1750
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA1115
ID
Other
Enumeration date
10/26/2006
Last updated
07/08/2007
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