| Spencer J Hardenbrook Md Pc | |
|
12176 S 1000 E Ste 4 Draper UT 84020-3221 | |
| (800) 640-3451 | |
| (385) 287-1900 |
| Full Name | Spencer J Hardenbrook Md Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 12176 S 1000 E Ste 4, Draper, Utah |
| Authorized Official Name and Position | Mariana Anderson Hankins (ADMINISTRATOR) |
| Authorized Official Contact | 8018881140 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Spencer J Hardenbrook Md Pc Po Box 1200 Pleasant Grove UT 84062-1200 Ph: (800) 640-3451 | Spencer J Hardenbrook Md Pc 12176 S 1000 E Ste 4 Draper UT 84020-3221 Ph: (800) 640-3451 |
| NPI Number | 1073909594 |
|---|---|
| Provider Enumeration Date | 04/10/2015 |
| Last Update Date | 11/06/2024 |
| Medicare PECOS PAC ID | 2062733546 |
|---|---|
| Medicare Enrollment ID | O20150609002364 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073909594 | NPI | - | NPPES |
| 08121980 | Other | OWNERS DOB |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 88335211205 (Utah) | Primary |
| Provider Name | Spencer J Hardenbrook |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881952315 PECOS PAC ID: 5092968685 Enrollment ID: I20150609002795 |
| Provider Name | Sandra White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356952840 PECOS PAC ID: 9931529898 Enrollment ID: I20201014001147 |
| Provider Name | Tyson Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679233134 PECOS PAC ID: 6608261854 Enrollment ID: I20220324002566 |
| Provider Name | Jill Nicholson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649558479 PECOS PAC ID: 0042113441 Enrollment ID: I20220802002204 |
| Provider Name | Robert Daniel Warren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376961011 PECOS PAC ID: 0749412047 Enrollment ID: I20221122001272 |
| Provider Name | Tumu J Asuao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124697214 PECOS PAC ID: 1052773652 Enrollment ID: I20230814003885 |
| Provider Name | Paul Howes Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578249314 PECOS PAC ID: 9436507142 Enrollment ID: I20231117002948 |
| Provider Name | Rachel Voss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750152260 PECOS PAC ID: 0941653372 Enrollment ID: I20240422003298 |
| Provider Name | Jordan R Rentmeister |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952011306 PECOS PAC ID: 3971048638 Enrollment ID: I20240718000306 |
| Provider Name | Brian Michael Stokes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720401755 PECOS PAC ID: 2769847540 Enrollment ID: I20240819003096 |
My Family Doctor Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 877 E 12300 S, Suite 201, Draper, UT 84020 Phone: 801-542-7111 Fax: 801-542-7112 | |
Wasathc Health Solutions Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1135 Parkstone Dr, Draper, UT 84020 Phone: 801-641-3686 Fax: 801-545-8744 | |
Still Llc Dba The Center Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12481 S Fort St Ste 150, Draper, UT 84020 Phone: 801-874-4954 Fax: 888-571-6267 | |
Hidden Valley Family Medicine Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12176 S 1000 E, Draper, UT 84020 Phone: 801-572-3750 Fax: 801-572-1097 | |
Granger Medical Specialists Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 96 E Kimballs Ln Ste 304, Draper, UT 84020 Phone: 801-571-9433 | |
Lone Peak Medical Associates Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14768 S Dryburg Cv, Draper, UT 84020 Phone: 801-558-5126 Fax: 801-206-3823 |