NPI | 1558583716 |
---|---|
Professional Name | R SCOTT BEVAN |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 213E00000X Podiatrist (Licence: WY 58) |
Additional Taxonomies | 213E00000X Podiatrist (Licence: UT 92) |
Enumeration Date | 2007-05-03 |
Last Update Date | 2007-07-09 |