Melby, Spencer James
Melby, Spencer James is an individual health care provider with primary practice located at 700 W 800 N Ste 444 , Orem UT 84057-6305. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Melby, Spencer James can be contacted via phone (801) 743-4750.Contact Information
Primary practice address
700 W 800 N Ste 444
Orem UT 84057-6305
Phone: (801) 743-4750
Fax: (801) 743-4765
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 2004010713 | Missouri |
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 2004010713 | Missouri |
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 13076265-1205 | Utah |
Profile Details
NPI number | 1720081243 |
---|---|
LBN Legal business name | Melby, Spencer James |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 30th, 2005 |
Last updated | Dec 28th, 2022 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1720081243 | NPPES |
Missouri | MEDICAID | 208800003 |
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