Individual
SPENCER TINGEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3730 W 4700 S, TAYLORSVILLE, UT 84129
(517) 975-7888
Mailing address
3730 W 4700 S, TAYLORSVILLE, UT 84129-3457
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10746354-1204
UT
207QS0010X
Sports Medicine (Family Medicine) Physician
10746354-1204
UT
Other
Enumeration date
03/24/2014
Last updated
12/20/2021
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