Individual provider · Type 1 NPI

Brian Todd Spencer, PA-C

Medical Physician Assistant · Provo, UT

NPI number 1689142440 Active

Practice location

1034 N 500 W
Provo, UT 84604-3380

Call (801) 357-8586 Map

Fax (801) 357-7786

Mailing address

6325 W 10150 N
Highland, UT 84003-3453

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X9155350-1206 (UT)

Medical Physician Assistant: Definition to come...

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About NPI 1689142440

Brian Todd Spencer, PA-C's National Provider Identifier is 1689142440, issued on Nov 8, 2018. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Provo, UT. The record was last updated on Nov 8, 2018.