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Individual

DR. SPENCER JOHN ROBERTSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1501 HILAND AVE, BURLEY, ID 83318-2682
(208) 678-4444
Mailing address
5444 GREEN ST, MURRAY, UT 84123-5632
(801) 262-8120
(801) 262-3897

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
7345497-1205
UT
2085R0202X
Diagnostic Radiology Physician
Primary
M-10706
ID
2085R0202X
Diagnostic Radiology Physician
MD430572
PA

Other

Enumeration date
02/19/2007
Last updated
03/14/2013
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