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Individual

SPENCER BARTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
524 E 10735 S, SANDY, UT 84070-6020
(801) 809-0880
Mailing address
524 E 10735 S, SANDY, UT 84070-6020
(801) 809-0880

Taxonomy

Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
5834623-4405
UT
363LA2200X
Adult Health Nurse Practitioner
5834623-4405
UT
363LF0000X
Family Nurse Practitioner
5834623-4405
UT
363LP2300X
Primary Care Nurse Practitioner
Primary
5834623-4405
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5834623-4405
NP LICENSE
UT
Enumeration date
12/23/2019
Last updated
04/22/2021
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