Individual
SPENCER LEE SCOVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1378 S 1600 W, OREM, UT 84058-4904
(801) 426-0606
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(435) 657-8400
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
6239284-1204
UT
Other
Enumeration date
09/12/2006
Last updated
08/08/2022
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