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Individual

DR. SPENCER CHASE GARDNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C, ATC.

Contact information

Practice address
5204 S REDWOOD RD STE C3, TAYLORSVILLE, UT 84123-4275
(801) 580-3345
Mailing address
5204 S REDWOOD RD STE C3, TAYLORSVILLE, UT 84123-4275
(801) 987-0335

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
7733054-1202
UT
2255A2300X
Athletic Trainer
7733054-4810
UT

Other

Enumeration date
01/11/2017
Last updated
03/03/2022
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