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Individual

CORD DANIEL SPECK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
500 FOOTHILL DR, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
Mailing address
4717 AUTUMN ROSE TRL, OAKWOOD, GA 30566-2417

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN281351
GA

Other

Enumeration date
09/03/2020
Last updated
04/30/2026
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