SPENCER PILI LAULUSA

PROVO, UT
NPI1447831961
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: UT  12456226-1206)
Enumeration Date2021-04-16
Last Update Date2021-10-13
Business Address
SPENCER PILI LAULUSA PA
1055 N 500 W
PROVO, UT 84604-3305
Phone number: 801-373-7350
Mailing Address
SPENCER PILI LAULUSA PA
1055 N 500 W ATTN CREDENTIALING
PROVO, UT 84604
Phone number: 801-354-8225