Individual
SPENCER THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-S
Contact information
Practice address
389 S 900 E, SALT LAKE CITY, UT 84102-2310
(385) 282-2400
Mailing address
389 S 900 E, SALT LAKE CITY, UT 84102-2310
(385) 282-2400
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12478614-1206
UT
Other
Enumeration date
06/15/2020
Last updated
09/21/2022
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