| Scott E Southworth Md Pc | |
|
520 Medical Dr Suite 200 Bountiful UT 84010-4968 | |
| (801) 294-9333 | |
| Not Available |
| Full Name | Scott E Southworth Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 520 Medical Dr, Bountiful, Utah |
| Authorized Official Name and Position | Scott E Southworth (PRESIDENT) |
| Authorized Official Contact | 8012949333 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Scott E Southworth Md Pc 140 N Union Ave Ste F-300 Farmington UT 84025-2953 Ph: (801) 294-9333 | Scott E Southworth Md Pc 520 Medical Dr Suite 200 Bountiful UT 84010-4968 Ph: (801) 294-9333 |
| NPI Number | 1902977242 |
|---|---|
| Provider Enumeration Date | 11/10/2006 |
| Last Update Date | 12/07/2022 |
| Medicare PECOS PAC ID | 1658371695 |
|---|---|
| Medicare Enrollment ID | O20061222000057 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902977242 | NPI | - | NPPES |
| 528924674003 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 200632514 (Utah) | Primary |
| Provider Name | Scott E Southworth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972602910 PECOS PAC ID: 5597792358 Enrollment ID: I20050722000717 |
| Provider Name | Valerie Zaugg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538617964 PECOS PAC ID: 6002190808 Enrollment ID: I20170222001736 |
Bryan Bartholomew Do Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 520 Medical Dr, Suite 200, Bountiful, UT 84010 Phone: 801-294-9333 Fax: 801-299-7811 | |
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