BRIAN TODD SPENCER

PROVO, UT
NPI1689142440
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: UT  9155350-1206)
Enumeration Date2018-11-08
Last Update Date2018-11-08
Business Address
BRIAN TODD SPENCER PA-C
1034 N 500 W
PROVO, UT 84604-3380
Phone number: 801-357-8586
Mailing Address
BRIAN TODD SPENCER PA-C
6325 W 10150 N
HIGHLAND, UT 84003-3453
Phone number: 801-850-2071
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