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Individual

SCOTT MACDONALD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1760 N 200 E STE 101, NORTH LOGAN, UT 84341
(435) 787-0560
(435) 752-4673
Mailing address
1760 N 200 E, STE 101, NORTH LOGAN, UT 84341-1202
(435) 787-0560
(435) 752-4673

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9174289-1206
UT

Other

Enumeration date
10/15/2014
Last updated
07/21/2022
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