Individual
DR. SCOTT B HACKING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1160 E 3900 S, SUITE 2000, SALT LAKE CITY, UT 84124-1202
(801) 266-3418
Mailing address
PO BOX 741729, ATLANTA, GA 30374-1729
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
238083
NY
207RI0011X
Interventional Cardiology Physician
Primary
5426466-1205
UT
Other
Enumeration date
08/01/2006
Last updated
01/13/2022
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