MR. Scott H Kowallis, O.D.

NPI #1861487050 in Roosevelt, Utah

Provider Information

NPI Number
1861487050
Entity Type
Individual
Name
MR. Scott H Kowallis, O.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Optometrist
Credential
O.D.
Enumeration Date
Sep 14, 2005
Last Updated
Jun 18, 2008

Practice Location

Address
165 W 200 N
Address 2
71-7
State
Utah
ZIP Code
84066-2834
Phone
(435) 722-2981

Specialties & Taxonomy Codes

Specialty
Optometrist

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Organizations

Provider Name
Roosevelt Vision Clinic, PCNewBizBotAI Deep Dive

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