Individual
MR. RICHARD JAY SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC-L
Contact information
Practice address
2166 S 1700 E, SALT LAKE CITY, UT 84106-4123
(801) 484-4343
(801) 481-4893
Mailing address
2599 GREEN ST, SALT LAKE CITY, UT 84106-1373
(801) 466-4914
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
6321066-4810
UT
Other
Enumeration date
02/03/2006
Last updated
07/08/2007
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