Individual
CHAD G SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
15215 S ROCKET DR, BLUFFDALE, UT 84065-4935
(801) 856-6414
Mailing address
15215 S ROCKET DR, BLUFFDALE, UT 84065-4935
(801) 856-6414
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F12200933
UT
Other
Enumeration date
02/10/2021
Last updated
02/10/2021
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