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SPENCER MAZORRA HANSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
395 W COUGAR BLVD STE 502, PROVO, UT 84604-3323
(801) 357-8818
(801) 357-8817
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(916) 248-6562

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
13959664-1205
UT

Other

Enumeration date
04/18/2020
Last updated
03/14/2025
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