Individual
MARCIA A. SCOVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.N.M.
Contact information
Practice address
2605 E 3300 S, SALT LAKE CITY, UT 84109-2728
(801) 746-7467
(801) 746-7469
Mailing address
2605 E 3300 S, SALT LAKE CITY, UT 84109-2728
(801) 746-7467
(801) 746-7469
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
214228-4402
UT
Other
Enumeration date
03/09/2007
Last updated
07/08/2007
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