Spencer Tietjen, AU.D.

NPI #1851699003 in Logan, Utah

Provider Information

NPI Number: 1851699003
Entity Type: Individual
Name: Spencer Tietjen, AU.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Audiologist
Credential: AU.D.
Enumeration Date: Mar 11, 2011
Last Updated: Jun 24, 2022

Practice Location

Address: 2245 N 400 E
Address 2: STE 301
City: Logan
State: Utah
ZIP Code: 84341-1892
Phone: (435) 753-7880

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Audiologist	231H00000X	Primary

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