Individual
DR. SPENCER BOWEN HENINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1030 S MEDICAL DR STE A, BRIGHAM CITY, UT 84302-3119
(435) 723-9700
(435) 723-9710
Mailing address
2310 N 400 E, STE A, LOGAN, UT 84341-1788
(435) 787-2000
(435) 787-1913
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
5336197-0501
UT
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
5336197-0501
UT
Other
Enumeration date
06/21/2005
Last updated
08/29/2024
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