Healthcare Provider Details

I. General information

NPI: 1730708397
Provider Name (Legal Business Name): SPENCER JEFFREY KNIGHT MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2020
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5316 S WOODROW ST STE 200
MURRAY UT
84107-5479
US

IV. Provider business mailing address

5316 S WOODROW ST STE 200
MURRAY UT
84107-5479
US

V. Phone/Fax

Practice location:
  • Phone: 801-747-1020
  • Fax: 801-747-1023
Mailing address:
  • Phone: 801-747-1020
  • Fax: 801-747-1023

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XX0801X
TaxonomyOrthopaedic Trauma Physician
License Number14268486-1205
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code207XX0801X
TaxonomyOrthopaedic Trauma Physician
License Number2025021828
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: