Larson, Spencer
Larson, Spencer is an individual health care provider with primary practice located at 2376 N 400 E Ste 102 , Tooele UT 84074-3413. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Larson, Spencer can be contacted via phone (435) 843-1225.Contact Information
Primary practice address
2376 N 400 E Ste 102
Tooele UT 84074-3413
Phone: (435) 843-1225
Fax: (435) 843-1228
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 13185617-1204 | Utah |
Profile Details
| NPI number | 1790300143 |
|---|---|
| LBN Legal business name | Larson, Spencer |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 11th, 2020 |
| Last updated | Sep 11th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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