NPI 1174143200

Spencer Mazorra Hansen, MD

Practitioner Physical Medicine & Rehabilitation Physician Provo, UT

Practice location

Address: 395 W Cougar Blvd STE 502, Provo, UT 84604-3323
Phone: (801) 357-8818
Fax: (801) 357-8817
Mailing address: PO Box 27128, Salt Lake City, UT 84127-0128

Registered specialties

Physical Medicine & Rehabilitation Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence 13959664-1205 (UT)

Other Physical Medicine & Rehabilitation providers in Utah →

Registry record

NPI: 1174143200
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Apr 2020
Record last updated: 14 Mar 2025

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.