NPI 1174898647

Spencer Kimball Hansen, MD

Practitioner Psychiatry Physician Slc, UT

Practice location

Address: 324 E 10th Ave STE 178, Slc, UT 84103
Phone: (801) 408-8500
Mailing address: PO Box 27128, Slc, UT 84127-0128

Registered specialties (2)

Psychiatry Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence 10801683-1205 (UT)

Other Psychiatry & Neurology providers in Utah →

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1174898647
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Mar 2012
Record last updated: 21 Aug 2018

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.