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Individual

SCOTT SCHULTZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1055 N 500 W STE 121, BUILDING C, PROVO, UT 86404
(801) 373-3750
(801) 812-5401
Mailing address
1055 N 500 W, ATTN: CREDENTIALING, PROVO, UT 84604

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10825054-1206
UT

Other

Enumeration date
01/17/2018
Last updated
11/27/2023
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