NPI 1386969442 · live from the CMS NPI Registry
R. Scott Bevan Dpm PC
Podiatrist, Primary Podiatric Medicine in Smoot, WY. National Provider Identifier 1386969442, active.
NPI record
| NPI | 1386969442 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist, Primary Podiatric Medicine 213EP1101X |
| Practice location | 998 County Road 148, Smoot, WY 83126 |
| Practice phone | 801-243-3801 |
| Mailing address | Po Box 171258, Salt Lake City, UT 84117 |
| Enumerated | April 1, 2010 |
| Last updated | April 1, 2010 |
| Authorized official | Richard Bevan, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist, Primary Podiatric Medicine primary | 213EP1101X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.