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Individual

DR. NEIL O. SPENCER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
201 W LAYTON PKWY STE 2B, LAYTON, UT 84041-3692
(801) 543-6850
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
891804611205
UT
207V00000X
Obstetrics & Gynecology Physician
Primary
180461-1205
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0700130
UNITED HEALTHCARE
UT
01
107007291101
INTERMOUNTAIN HEALTHCARE
UT
05
51121
UT
01
870616999
REGENCE BLUE CROSS
UT
Enumeration date
06/09/2005
Last updated
11/09/2023
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