Organization
SCOTT HUMPHERYS, DPM INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT BRETT HUMPHERYS DPM (PRESIDENT)
(801) 225-3095
Entity
Organization
Contact information
Practice address
1355 N. UNIVERSITY AVE, #125, PROVO, UT 84604-2722
(801) 225-3095
(801) 377-2426
Mailing address
368 N 780 E, LINDON, UT 84042-2519
(801) 225-3095
(801) 377-2426
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
326796-0501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
528292703007
—
UT
Enumeration date
06/09/2014
Last updated
06/09/2014
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