Spencer D Mortensen (NPI# 1548321078, PAC ID# 2668620022) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1548321078 |
| PAC ID by PECOS | 2668620022 |
| Professional Enrollment ID | I20120911000094 |
| Full Name | Spencer D Mortensen |
| Address |
462 E 100 Salt Lake City UT 84111-1805 |
| Phone Number | 8015325176 |
| Gender | M |
| Medical School | OHIO STATE UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 1975 |
| Primary Specialty | OPTOMETRY |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 462 E 100, Salt Lake City, UT 84111-1805 | 8015325176 | |
| 50 N Medical Dr, Salt Lake City, UT 84132-0100 | 8015850434 | UNIVERSITY OF UTAH ADULT SERVICES |
| Street Address |
462 E 100 |
| City | SALT LAKE CITY |
| State | UT |
| Zip | 84111-1805 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Zachary Dale Taylor | Chiropractic | Aspen Falls Spinal Care Center LLC | 370 E S Temple, Suite 100, Salt Lake City, UT 84111-1240 |
| James Farthing Leonard | Chiropractic | Aspen Falls Spinal Care Center LLC | 370 E S Temple, Suite 100, Salt Lake City, UT 84111-1240 |
| Dustin J Hedstrom | Chiropractic | Aspen Falls Spinal Care Center LLC | 370 E S Temple, Suite 100, Salt Lake City, UT 84111-1240 |
| John Corbaley | Chiropractic | Aspen Falls Spinal Care Center LLC | 370 E S Temple, Suite 100, Salt Lake City, UT 84111-1240 |
| Page Speiser | Clinical Social Worker | 275 E S Temple, Suite 101, Salt Lake City, UT 84111-1243 | |
| Carolyn K Scott | Clinical Social Worker | Carolyn K Scott Lcsw PC | 275 E S Temple St, Salt Lake City, UT 84111-1243 |
| Kathleen Fitzwilliam Lakey | Clinical Social Worker | 275 E S Temple, Suite 101, Salt Lake City, UT 84111-1243 | |
| Marybeth Raynes | Clinical Social Worker | 275 E S Temple, Suite 101, Salt Lake City, UT 84111-1243 | |
| Merritt W Stites | Clinical Social Worker | 275 E S Temple, Suite 101, Salt Lake City, UT 84111-1243 | |
| Carrie L Kelley | Psychologist, Clinical | 275 E S Temple, Suite 101, Salt Lake City, UT 84111-1243 | |
| Find all physicians in zip 84111 | |||
| City | SALT LAKE CITY |
| Zip Code | 84111 |
| Specialty | OPTOMETRY |
| City + Specialty | SALT LAKE CITY + OPTOMETRY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.