Individual
SPENCER EVAN BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2250 N MILLER CAMPUS DR, LEHI, UT 84043-7233
(859) 313-7711
(385) 531-1805
Mailing address
295 S CHIPETA WAY, SALT LAKE CITY, UT 84108-1287
(859) 313-7711
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
12759564-1205
UT
2084P0800X
Psychiatry Physician
12759564-1205
UT
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
12759564-8905
UT
Other
Enumeration date
03/22/2017
Last updated
02/20/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us