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1740551126
R SCOTT BEVAN DPM PC
MIDVALE, UT
NPI
1740551126
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Entity Type
Organization
Authorized Contact
RICHARD SCOTT BEVAN
President
801-243-3801
Organization Subpart ?
No
Primary Taxonomy
213E00000X Podiatrist
(Licence: UT 92)
Enumeration Date
2012-01-18
Last Update Date
2012-01-18
Business Address
R SCOTT BEVAN DPM PC
965 E SOUTH UNION AVENUE
MIDVALE, UT 84047-2323
Phone number: 801-243-3801
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Mailing Address
R SCOTT BEVAN DPM PC
PO BOX 171258
SALT LAKE CITY, UT 84117-1258
Phone number: 801-243-3801
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