Provider Demographics
NPI:1154313690
Name:SCOTT, STEVEN M (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:M
Last Name:SCOTT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 27128
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84127-0128
Mailing Address - Country:US
Mailing Address - Phone:801-507-3475
Mailing Address - Fax:801-507-3499
Practice Address - Street 1:5169 S COTTONWOOD ST
Practice Address - Street 2:STE 430
Practice Address - City:SLC
Practice Address - State:UT
Practice Address - Zip Code:84157
Practice Address - Country:US
Practice Address - Phone:801-507-3475
Practice Address - Fax:801-507-3499
Is Sole Proprietor?:No
Enumeration Date:2005-08-19
Last Update Date:2009-06-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
UT1670441205207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
UTD20201Medicare UPIN
UT000063516Medicare PIN
000060774Medicare PIN