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Individual
SPENCER TINGEY
Active
Individual
SPENCER TINGEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10746354-1204
UT
207QS0010X
Sports Medicine (Family Medicine) Physician
10746354-1204
UT
Other
Enumeration date
03/24/2014
Last updated
12/20/2021
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