Individual
SCOTT J BEENFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
185 S 400 E STE 100, BOUNTIFUL, UT 84010-4862
(801) 397-6200
(801) 397-6201
Mailing address
PO BOX 5546, DENVER, CO 80217-5546
(801) 475-3500
(801) 475-3489
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12779395-1206
UT
Other
Enumeration date
08/26/2017
Last updated
11/07/2022
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