Provider Demographics
NPI:1821044595
Name:JUSTESEN, SCOTT C (MD)
Entity Type:Individual
Prefix:
First Name:SCOTT
Middle Name:C
Last Name:JUSTESEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:945 W HOSPITAL DR STE 7
Mailing Address - Street 2:
Mailing Address - City:PRICE
Mailing Address - State:UT
Mailing Address - Zip Code:84501-4230
Mailing Address - Country:US
Mailing Address - Phone:435-613-6600
Mailing Address - Fax:435-613-6601
Practice Address - Street 1:945 W HOSPITAL DR STE 7
Practice Address - Street 2:
Practice Address - City:PRICE
Practice Address - State:UT
Practice Address - Zip Code:84501-4230
Practice Address - Country:US
Practice Address - Phone:435-613-6600
Practice Address - Fax:435-613-6601
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-25
Last Update Date:2022-02-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
UT6637866-1205207XX0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0801XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Trauma