Individual
SCOTT E SOUTHWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
520 MEDICAL DR STE 300, BOUNTIFUL, UT 84010-8925
(801) 292-1422
Mailing address
140 N UNION AVE STE F-300, FARMINGTON, UT 84025-2953
(801) 294-9333
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
173151-1205
UT
208M00000X
Hospitalist Physician
173151-1205
UT
Other
Enumeration date
09/22/2006
Last updated
12/07/2022
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