| Spenser Reed Md Pllc | |
|
1790 Sun Peak Dr Ste A101 Park City UT 84098-6624 | |
| (435) 645-0800 | |
| (435) 647-3003 |
| Full Name | Spenser Reed Md Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 1790 Sun Peak Dr Ste A101, Park City, Utah |
| Authorized Official Name and Position | Spenser Reed (PHYSICIAN/OWNER) |
| Authorized Official Contact | 4355136600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Spenser Reed Md Pllc 1790 Sun Peak Dr Ste A101 Park City UT 84098-6624 Ph: (435) 645-0800 | Spenser Reed Md Pllc 1790 Sun Peak Dr Ste A101 Park City UT 84098-6624 Ph: (435) 645-0800 |
| NPI Number | 1659001931 |
|---|---|
| Provider Enumeration Date | 06/10/2022 |
| Last Update Date | 06/10/2022 |
| Medicare PECOS PAC ID | 7113301185 |
|---|---|
| Medicare Enrollment ID | O20220825002149 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659001931 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Kim E Scott |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497712376 PECOS PAC ID: 5890733489 Enrollment ID: I20050423000100 |
| Provider Name | Spenser Reed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205398799 PECOS PAC ID: 6507264983 Enrollment ID: I20220825002365 |
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