SPENCER LAKE

specializing in nurse practitioner in Bountiful, Utah

NPI: 1932869377

Provider Type

1

Practice Locations

Mailing Location

557 W 2600 S

BOUNTIFUL, UT 84010

📞 8012989155

📠 8012989156

Practice Location

557 W 2600 S

BOUNTIFUL, UT 84010

📞 8012989155

📠 8012989156

Provider Information

Gender:M
Sole Proprietor:No
Enumeration Date:12/27/2021
Last Updated:12/27/2021

Credentials

Primary Credential:
SPENCER LAKE - Nurse Practitioner in Bountiful, Utah