Provider Demographics
NPI:1295793339
Name:EPSTEIN, SCOTT F (DO)
Entity type:Individual
Prefix:
First Name:SCOTT
Middle Name:F
Last Name:EPSTEIN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:3584 W 9000 S
Mailing Address - Street 2:STE 206
Mailing Address - City:WEST JORDAN
Mailing Address - State:UT
Mailing Address - Zip Code:84088-5710
Mailing Address - Country:US
Mailing Address - Phone:801-561-2227
Mailing Address - Fax:801-561-5353
Practice Address - Street 1:3584 W 9000 S
Practice Address - Street 2:STE 206
Practice Address - City:WEST JORDAN
Practice Address - State:UT
Practice Address - Zip Code:84088-5710
Practice Address - Country:US
Practice Address - Phone:801-561-2227
Practice Address - Fax:801-561-5353
Is Sole Proprietor?:No
Enumeration Date:2006-05-01
Last Update Date:2008-05-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
UT5423934-1204207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
UTG37427Medicare UPIN
UT000055918Medicare ID - Type Unspecified