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NPI Code Detail

MEDICARE: DR. L SCOTT JEWKES D.AC.

MEDICARE:  DR. L SCOTT JEWKES  D.AC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171100000XAcupuncturist100470-1201UT

General Provider Information

NPI Number : 1649360140
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. L SCOTT JEWKES D.AC.
Provider Business Mailing Address
First Line : 1462 TUMBLEWEED WAY
Second Line :
City : DRAPER
State : UT
Zip : 84020-7682
Country : US
Telephone Number : 801-560-1748
Fax Number : 801-272-4260
Provider Business Practice Location Address
First Line : 4578 HIGHLAND DR
Second Line : STE. 100
City : SALT LAKE CITY
State : UT
Zip : 84117-4243
Country : US
Telephone Number : 801-272-4260
Fax Number : 801-272-2827
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/13/2006
Last Update Date : 07/21/2022

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Directions to “ DR. L SCOTT JEWKES D.AC.” Practice Location

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