NPI 1104182476

Jeffrey David Sparenborg, MD

Practitioner Urology Physician Provo, UT

Practice location

Address: 1157 N 300 W STE 301, Provo, UT 84604-6124
Phone: (801) 357-7009
Fax: (801) 357-8132
Mailing address: PO Box 27128, Salt Lake City, UT 84127-0128

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence 10386883-1205 (UT)

Other Urology providers in Utah →

Registry record

NPI: 1104182476
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Apr 2012
Record last updated: 8 Jul 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.