Individual
SPENCER TELL NASER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 N MAIN ST STE A, RICHFIELD, UT 84701
(435) 893-0580
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(435) 893-0580
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
6955120-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760747240
—
MO
Enumeration date
07/10/2012
Last updated
04/25/2019
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