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
Fax: (435) 843-1228
Website:

Health care specialties

SpecialtyCodeLicense #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 2 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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