Individual
DR. SCOTT RYAN BUNKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4401 HARRISON BLVD DEPT OF, OGDEN, UT 84403-3195
(954) 829-1375
Mailing address
3242 HARVARD DR, MOUNTAIN GREEN, UT 84050-6765
(954) 829-1375
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
12449773-1204
UT
207L00000X
Anesthesiology Physician
20A 12856
CA
207L00000X
Anesthesiology Physician
26113
MT
207L00000X
Anesthesiology Physician
739
NE
207L00000X
Anesthesiology Physician
DO176008
OR
207L00000X
Anesthesiology Physician
Primary
P2963
TX
Other
Enumeration date
06/24/2008
Last updated
06/01/2022
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