R SCOTT BEVAN DPM PC NPI 1740551126

NPI Information

R SCOTT BEVAN DPM PC is a podiatrist in Midvale, UT. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. R SCOTT BEVAN DPM PC NPI is 1740551126. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

965 E SOUTH UNION AVENUE
MIDVALE, UT
ZIP 84047-323
Phone: (801) 243-3801

The provider's authorized official is Richard Scott Bevan .
The authorized official title is President and has the following contact phone number (801) 243-3801.

The enumeration date for this NPI number is 1/18/2012 and was last updated on 1/18/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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