Individual
SPENCER KEITH NOYCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
620 MEDICAL DR, BOUNTIFUL, UT 84010-5084
(801) 295-2888
Mailing address
620 MEDICAL DR, BOUNTIFUL, UT 84010-5084
(801) 295-2888
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
8298342-4405
UT
363LP0200X
Pediatric Nurse Practitioner
Primary
8298342-4405
UT
Other
Enumeration date
02/11/2022
Last updated
10/04/2023
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