MEDICARE: JOSHUA NELSON SPEIRS MD

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
1	207XP3100X	Pediatric Orthopaedic Surgery Physician	12793565-1205	UT
2	207X00000X	Orthopaedic Surgery Physician	12793565-1205	UT
3	207X00000X	Orthopaedic Surgery Physician	A151041	CA

General Provider Information

NPI Number	:	1164876918
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSHUA NELSON SPEIRS MD

Provider Business Mailing Address
First Line	:	1157 N 300 W STE 302
Second Line	:
City	:	PROVO
State	:	UT
Zip	:	84604-6124
Country	:	US
Telephone Number	:	801-357-4470
Fax Number	:	801-357-4473

Provider Business Practice Location Address
First Line	:	1157 N 300 W STE 302
Second Line	:
City	:	PROVO
State	:	UT
Zip	:	84604-6124
Country	:	US
Telephone Number	:	801-357-4470
Fax Number	:	801-357-4473

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/18/2016
Last Update Date	:	04/07/2026

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