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Spencer Lance Davenport, PA-C
Medical Physician Assistant in Ogden, Utah
NPI 1649553835

Spencer Lance Davenport is a Medical Physician Assistant based in Salt Lake City, UT and is specialized in Medical. Spencer Lance Davenport practices in Ogden, UT and has the professional credentials of PA-C. The NPI Number for Spencer Lance Davenport is 1649553835 and holds a License No. 5929015-8906 (Utah).

The current practice location address for Spencer Lance Davenport is 4403 Harrison Blvd Ste 2600, Ogden, UT and can be reached out via phone at 801-387-5620.

Location: 4403 Harrison Blvd Ste 2600, Ogden, UT, 84127-0128
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649553835
Provider Name
Spencer Lance Davenport
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
4403 Harrison Blvd Ste 2600, Ogden, UT, 84127-0128
Phone Number
801-387-5620
Fax Number
Provider Enumeration Date
09/23/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4403 Harrison Blvd Ste 2600
City
Ogden
State
Utah
Zip
84403-3277
Phone Number
801-387-5620
Fax Number
person
Provider Business Mailing Address Details
Address
4403 Harrison Blvd Ste 2600
City
Ogden
State
Utah
Zip
84403-3277
Phone Number
801-387-5620
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
5929015-8906 (Utah)
Definition
Definition to come...
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