Spencer Mazorra Hansen, MD

NPI #1174143200 in Provo, Utah

Provider Information

NPI Number
1174143200
Entity Type
Individual
Name
Spencer Mazorra Hansen, MD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Medicine & Rehabilitation
Credential
MD
Enumeration Date
Apr 18, 2020
Last Updated
Mar 14, 2025

Practice Location

Address
395 W COUGAR BLVD STE 502
City
Provo
State
Utah
ZIP Code
84604-3323
Phone
(801) 357-8818

Specialties & Taxonomy Codes

Specialty
Physical Medicine & Rehabilitation

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