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NPI Code Detail

MEDICARE: DR. STEVEN SCOTT GARVERT D.C.

MEDICARE: DR. STEVEN SCOTT GARVERT D.C.
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
1111N00000XChiropractor4788778-1202UT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
147887781200001OTHERUTBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1063579126
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEVEN SCOTT GARVERT D.C.
Provider Business Mailing Address
First Line : 267 N SPRING CREEK PKWY
Second Line :
City : PROVIDENCE
State : UT
Zip : 84332-9775
Country : US
Telephone Number : 435-753-8007
Fax Number :
Provider Business Practice Location Address
First Line : 267 SPRINGCREEK PKWY
Second Line :
City : PROVIDENCE
State : UT
Zip : 84332-9775
Country : US
Telephone Number : 435-792-9400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/01/2007
Last Update Date : 03/28/2016

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