RICHARD SCOTT BEVAN

SMOOT, WY
NPI1558583716
Professional NameR SCOTT BEVAN
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy213E00000X Podiatrist
(Licence: WY  58)
Additional Taxonomies213E00000X Podiatrist
(Licence: UT  92)
Enumeration Date2007-05-03
Last Update Date2007-07-09
Business Address
-- RICHARD SCOTT BEVAN d.p.m.
998 COUNTY ROAD 148
SMOOT, WY 83126
Phone number: 801-243-3801
Mailing Address
-- RICHARD SCOTT BEVAN d.p.m.
P O BOX 171258
SALT LAKE CITY, UT 84117-1258
Phone number: 801-243-3801
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