Individual
DR. SCOTT TYLER HOLMSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
UNIVERSITY OF UTAH SOM DEPT OF MEDICINE, 30 N 1900 E ROOM 4C104, SLC, UT 84132-0001
(801) 581-7606
Mailing address
UNIVERSITY OF UTAH SOM DEPT OF MEDICINE, 30 N 1900 E ROOM 4C104, SLC, UT 84132-0001
(801) 581-7606
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
9139024-1205
UT
208M00000X
Hospitalist Physician
Primary
9139024-1205
UT
Other
Enumeration date
04/30/2013
Last updated
11/04/2021
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