Individual
DR. SPENCER E. RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
280 N MAIN ST, BOUNTIFUL, UT 84010-6136
(801) 298-2495
(801) 298-2801
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 298-2495
(801) 298-2801
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
58953691205
UT
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
58953691205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
942854058788-D6150
—
UT
Enumeration date
03/14/2006
Last updated
06/13/2011
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