Individual
MR. STEPHEN REESE SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
5734 S 1475 E, #300, SOUTH OGDEN, UT 84403-4596
(801) 475-7628
(801) 475-7639
Mailing address
P.O. BOX 711185, SALT LAKE CITY, UT 84171-1185
(801) 942-3311
(801) 942-5955
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
106176-2401
UT
Other
Enumeration date
01/05/2006
Last updated
08/13/2010
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