Individual
DR. SPENCER JAMES MELBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 W 800 N STE 444, OREM, UT 84057-6305
(801) 743-4750
(801) 743-4765
Mailing address
PO BOX 281490, ATLANTA, GA 30384-1490
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2004010713
MO
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
13076265-1205
UT
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
2004010713
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208800003
—
MO
Enumeration date
05/30/2005
Last updated
12/28/2022
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