Davenport, Spencer Lance
Davenport, Spencer Lance is an individual health care provider with primary practice located at 4403 Harrison Blvd Ste 2600 , Ogden UT 84403-3277. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Davenport, Spencer Lance can be contacted via phone (801) 387-5620.Contact Information
Primary practice address
4403 Harrison Blvd Ste 2600
Ogden UT 84403-3277
Phone: (801) 387-5620
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 5929015-8906 | Utah |
Profile Details
| NPI number | 1649553835 |
|---|---|
| LBN Legal business name | Davenport, Spencer Lance |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 23rd, 2011 |
| Last updated | Aug 10th, 2021 - about 4 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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