Organization
JAY M. SPECTOR,M.D.,LLC
Active
Other names
Oasis Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
JAY M SPECTOR M.D. (OWNER)
(435) 833-0229
Entity
Organization
Contact information
Practice address
1929 AARON DR, SUITE I, TOOELE, UT 84074-8112
(435) 833-0229
(435) 833-0231
Mailing address
PO BOX 932, SANDY, UT 84091-0932
(801) 619-2175
(801) 553-9562
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1670871205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
303566917001
—
UT
Enumeration date
07/08/2006
Last updated
10/01/2009
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