| Oquirrh Services | |
|
4133 W Pioneer Pkwy Ste 130 West Valley UT 84120-2059 | |
| (385) 337-1144 | |
| (888) 546-0632 |
| Full Name | Oquirrh Services |
|---|---|
| Speciality | Family Medicine |
| Location | 4133 W Pioneer Pkwy Ste 130, West Valley, Utah |
| Authorized Official Name and Position | Michelle Speckman (OWNER) |
| Authorized Official Contact | 3853371144 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oquirrh Services 4133 W Pioneer Pkwy Ste 130 West Valley UT 84120-2059 Ph: (385) 337-1144 | Oquirrh Services 4133 W Pioneer Pkwy Ste 130 West Valley UT 84120-2059 Ph: (385) 337-1144 |
| NPI Number | 1225895022 |
|---|---|
| Provider Enumeration Date | 02/28/2024 |
| Last Update Date | 02/28/2024 |
| Medicare PECOS PAC ID | 0446698724 |
|---|---|
| Medicare Enrollment ID | O20240405000261 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225895022 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Steven J Spencer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356369938 PECOS PAC ID: 7214902501 Enrollment ID: I20040930000619 |
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