SPENCER LANCE DAVENPORT

OGDEN, UT
NPI1649553835
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: UT  5929015-8906)
Enumeration Date2011-09-23
Last Update Date2021-08-10
Business Address
SPENCER LANCE DAVENPORT PA-C
4403 HARRISON BLVD STE 2600
OGDEN, UT 84403-3277
Phone number: 801-387-5620
Mailing Address
SPENCER LANCE DAVENPORT PA-C
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number: 801-643-1108
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