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1790300143
SPENCER LARSON
TOOELE, UT
NPI
1790300143
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: UT 13185617-1204)
Enumeration Date
2020-06-11
Last Update Date
2023-09-11
Business Address
Dr. SPENCER LARSON DO
2376 N 400 E STE 102
TOOELE, UT 84074-3413
Phone number: 435-843-1225
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Mailing Address
Dr. SPENCER LARSON DO
267 E VENTURA BLVD
STANSBURY PARK, UT 84074-9327
Phone number: 801-854-8629
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