Individual
KEVIN SPITZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9532 S 700 E, SANDY, UT 84070-3458
(801) 803-4333
Mailing address
1174 W RIVER HORSE RD, SALT LAKE CITY, UT 84119-7915
(801) 803-4333
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
170335264
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
170335264
DRIVER'S LICENSE
UT
Enumeration date
08/12/2022
Last updated
08/12/2022
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