Provider Demographics
NPI:1679757348
Name:OLDROYD, G. SCOTT (MD)
Entity Type:Individual
Prefix:
First Name:G.
Middle Name:SCOTT
Last Name:OLDROYD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:973 BOUNTIFUL HILLS DR
Mailing Address - Street 2:
Mailing Address - City:BOUNTIFUL
Mailing Address - State:UT
Mailing Address - Zip Code:84010-1913
Mailing Address - Country:US
Mailing Address - Phone:801-726-2211
Mailing Address - Fax:
Practice Address - Street 1:973 BOUNTIFUL HILLS DR
Practice Address - Street 2:
Practice Address - City:BOUNTIFUL
Practice Address - State:UT
Practice Address - Zip Code:84010-1913
Practice Address - Country:US
Practice Address - Phone:801-726-2211
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-18
Last Update Date:2007-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT156042-1205207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
UTC63378Medicare UPIN