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Individual

RICHARD SPENCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3580 W 9000 S, WEST JORDAN, UT 84088-8812
(801) 561-8888
Mailing address
144 S 500 E, 2ND FLOOR, SALT LAKE CITY, UT 84102-1907

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
170449-1205
UT
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
170449-1205
UT
207Q00000X
Family Medicine Physician
Primary
170449-1205
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
07579
UT
Enumeration date
04/13/2006
Last updated
08/02/2021
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