Individual
JEFFREY DAVID SPARENBORG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1157 N 300 W STE 301, PROVO, UT 84604-6124
(801) 357-7009
(801) 357-8132
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
10386883-1205
UT
Other
Enumeration date
04/11/2012
Last updated
07/08/2017
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