Provost, Scott Lyles

Provost, Scott Lyles is an sole proprietor health care provider with primary practice located at 5121 S Cottonwood Street Intermountain Medical Center, Murray UT 84157. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Provost, Scott Lyles can be contacted via phone (801) 507-5248.

Contact Information

Primary practice address
5121 S Cottonwood Street Intermountain Medical Center Murray UT 84157
Phone: (801) 507-5248
Fax: (801) 581-4367
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 5210810-1205 Utah
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 5210810-1205 Utah

Profile Details

NPI number 1194843052
LBN Legal business name Provost, Scott Lyles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 27th, 2007
Last updated Oct 16th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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