Organization
SHEPARD CREEK OB-GYN, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NEIL O SPENCER M.D. (PRESIDENT)
(801) 447-3377
Entity
Organization
Contact information
Practice address
670 SHEPARD LN STE 103, FARMINGTON, UT 84025-3936
(801) 447-3377
(801) 447-3442
Mailing address
670 SHEPARD LN STE 103, FARMINGTON, UT 84025-3936
(801) 447-3377
(801) 447-3442
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
891804611205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
528111737021
—
UT
Enumeration date
02/11/2009
Last updated
01/07/2020
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