Individual
GENE E. SPEAKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1034 N 500 W, PROVO, UT 84604-3380
(801) 357-7027
Mailing address
PO BOX 30180, SALT LAKE CITY, UT 84130-0180
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
146042-1205
UT
Other
Enumeration date
09/26/2008
Last updated
09/26/2008
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