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MR. MORI SAMUEL SPEAKMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1303 N MAIN ST, CEDAR CITY, UT 84721-9746
(435) 868-5000
Mailing address
PO BOX 30180, SALT LAKE CITY, UT 84130-0180

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
275405-1
NY
207Q00000X
Family Medicine Physician
Primary
8847116-1205
UT

Other

Enumeration date
07/03/2008
Last updated
01/25/2017
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