STEPHEN LAMARR SCOVILLE

SALT LAKE CITY, UT
NPI1730516220
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: UT  7427208-4405)
Enumeration Date2013-09-30
Last Update Date2020-04-07
Business Address
STEPHEN LAMARR SCOVILLE APRN
5788 S WATERBURY WAY UNIT B
SALT LAKE CITY, UT 84121-1141
Phone number: 801-662-9098
Mailing Address
STEPHEN LAMARR SCOVILLE APRN
1115 S 900 E
SALT LAKE CITY, UT 84105-1323
Phone number: 801-662-9098
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