L. SCOTT VANWAGONER

AMERICAN FORK, UT
NPI1669425146
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207PE0004X Emergency Medicine, Emergency Medical Services
(Licence: UT  359724)
Enumeration Date2006-05-18
Last Update Date2010-02-11
Business Address
-- L. SCOTT VANWAGONER DO
170 NORTH 1100 EAST
AMERICAN FORK, UT 84003
Phone number: 801-714-6570
Mailing Address
-- L. SCOTT VANWAGONER DO
PO BOX 430
SALT LAKE CITY, UT 84660-0430
Phone number: 866-898-7136