Individual
DR. SPENCER JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
12357 S 450 E STE 2, DRAPER, UT 84020-8127
(801) 572-9804
(801) 572-9805
Mailing address
12357 S 450 E STE 2, DRAPER, UT 84020-8127
(801) 572-9804
(801) 572-9805
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5937796-9934
UT
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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