Scott E Southworth Md Pc

LBN: Scott E Southworth Md Pc
Scott E Southworth Md Pc is an health care organization with primary practice located at 520 Medical Dr Suite 200, Bountiful UT 84010-4968. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Scott E Southworth Md Pc can be contacted via phone (801) 294-9333, or through Southworth, Scott E via phone (801) 294-9333.

Contact Information

Primary practice address
520 Medical Dr Suite 200 Bountiful UT 84010-4968
Phone: (801) 294-9333
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Southworth, Scott E Doctor of Medicine (MD)
Phone: (801) 294-9333

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 200632514 Utah

Profile Details

NPI number 1902977242
LBN Legal business name Scott E Southworth Md Pc
DBA Doing business as
Authorized official Southworth, Scott E Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 10th, 2006
Last updated Dec 7th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902977242 NPPES
Utah MEDICAID 528924674003

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