JEFFREY DAVID SPARENBORG

PROVO, UT
NPI1104182476
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208800000X Urology
(Licence: UT  10386883-1205)
Enumeration Date2012-04-11
Last Update Date2017-07-08
Business Address
-- JEFFREY DAVID SPARENBORG M.D.
1157 N 300 W STE 301
PROVO, UT 84604-6124
Phone number: 801-357-7009
Mailing Address
-- JEFFREY DAVID SPARENBORG M.D.
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number: