Individual
SPENCER RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3848 HARRISON BLVD, OGDEN, UT 84408-0001
(801) 473-2006
Mailing address
452 W 750 S, OREM, UT 84058-6144
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/28/2014
Last updated
09/28/2014
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