Individual
RYAN SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NURSE
Contact information
Practice address
500 FOOTHILL BLVD, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
Mailing address
500 FOTTHILL AVE, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
0001271002
VA
Other
Enumeration date
03/05/2020
Last updated
03/05/2020
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