Individual
SPENSER RYAN SQUIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12473 S MINUTEMAN DR, DRAPER, UT 84020-7870
(801) 495-7910
(801) 495-7990
Mailing address
12473 S MINUTEMAN DR, DRAPER, UT 84020-7870
(801) 495-7910
(801) 495-7990
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12767284-1205
UT
Other
Enumeration date
04/08/2019
Last updated
07/23/2024
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