Individual
DANIEL KIP SPERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4403 HARRISON BLVD, STE A-700, OGDEN, UT 84403-3271
(801) 387-5300
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 387-5300
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/11/2011
Last updated
08/10/2021
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