NPI: 1902977242 · BOUNTIFUL, UT 84010 · Internal Medicine Physician · NPI assigned 11/10/2006
| Authorized Official | SOUTHWORTH, SCOTT (PRESIDENT) |
| NPI Enumeration Date | 11/10/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 120 | $2K |
| 2019 | 216 | $3K |
| 2020 | 27 | $603.62 |
| 2021 | 24 | $429.32 |