Individual provider · Type 1 NPI

Spencer Bowen Heninger, DPM

Foot & Ankle Surgery Podiatrist · Brigham City, UT

NPI number 1790781292 Active

Practice location

1030 S Medical Dr Ste A
Brigham City, UT 84302-3119

Fax (435) 723-9710

Mailing address

2310 N 400 E, Ste A
Logan, UT 84341-1788

Other practice locations

  • 1521 E 3900 S Ste 200, Salt Lake City, UT 84124-1550 · (801) 262-8486
  • 2310 N 400 E Ste A, North Logan, UT 84341-1796 · (435) 787-2000

Specialties and licenses

TaxonomyCodeLicense
Podiatrist 213E00000X5336197-0501 (UT)
Foot & Ankle Surgery Podiatrist Primary 213ES0103X5336197-0501 (UT)

Foot & Ankle Surgery Podiatrist: Definition to come...

3 other providers at this address

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About NPI 1790781292

Spencer Bowen Heninger, DPM's National Provider Identifier is 1790781292, issued on Jun 21, 2005. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Brigham City, UT. The record was last updated on Aug 29, 2024.