Individual
SPENCER VAN AUSDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
99 S 620 E, SALEM, UT 84653-5702
(801) 244-4894
Mailing address
99 S 620 E, SALEM, UT 84653-5702
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
13977665-3102
UT
Other
Enumeration date
05/04/2026
Last updated
05/04/2026
About Stedi
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