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NPI Code Detail

MEDICARE: SPENCER PIERCE D.C.

MEDICARE: SPENCER PIERCE D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor7611466-1202UT

General Provider Information

NPI Number : 1033577200
Entity Type Code : Individual
Provider Name (Legal Business Name) : SPENCER PIERCE D.C.
Provider Business Mailing Address
First Line : PO BOX 971
Second Line :
City : AMERICAN FORK
State : UT
Zip : 84003-0971
Country : US
Telephone Number : 801-885-4855
Fax Number :
Provider Business Practice Location Address
First Line : 5335 W 11000 N
Second Line :
City : HIGHLAND
State : UT
Zip : 84003-9403
Country : US
Telephone Number : 801-885-4855
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2016
Last Update Date : 02/03/2016

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Directions to “ SPENCER PIERCE D.C.” Practice Location

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