SPENCER MAZORRA HANSEN

PROVO, UT
NPI1174143200
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: UT  13959664-1205)
Enumeration Date2020-04-18
Last Update Date2025-03-14
Business Address
SPENCER MAZORRA HANSEN MD
395 W COUGAR BLVD STE 502
PROVO, UT 84604-3323
Phone number: 801-357-8818
Mailing Address
SPENCER MAZORRA HANSEN MD
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number: 916-248-6562
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