Spence, Richard

Spence, Richard is an individual health care provider with primary practice located at 3580 W 9000 S , West Jordan UT 84088-8812. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Spence, Richard can be contacted via phone (801) 561-8888.

Contact Information

Primary practice address
3580 W 9000 S West Jordan UT 84088-8812
Phone: (801) 561-8888
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 170449-1205 Utah
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 170449-1205 Utah
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 170449-1205 Utah

Profile Details

NPI number 1649234022
LBN Legal business name Spence, Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2006
Last updated Aug 2nd, 2021 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1649234022 NPPES
Utah MEDICAID 07579

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