Individual
MR. GREG SPEZIALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
36 RACQUET CLUB DR, PARK CITY, UT 84060
(801) 425-8767
Mailing address
2100 PARK AVE UNIT 682941, PARK CITY, UT 84068-4619
(801) 425-8767
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
1478
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1478
STATE OF UTAH CERTIFIED PEER SUPPORT SPECIALIST
UT
Enumeration date
02/23/2022
Last updated
02/23/2022
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