Spencer Workman Despain
Community Health Worker in Salt Lake City, UT. Individual provider (NPI-1).
NPI number1255150397
StatusActive
Last updated in NPPESOct 7, 2024
Details
- NPI
- 1255150397
- Entity type
- Individual (NPI-1)
- Name
- Spencer Workman Despain
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 7, 2024
- Certification date
- Oct 7, 2024
- Last updated
- Oct 7, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
Practice location
117 W 400 SSalt Lake City, UT 84101-1916
Phone 801-428-4257
Mailing address
117 W 400 SSalt Lake City, UT 84101-1916
Phone 801-428-4257
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