500 FOOTHILL DR
SALT LAKE CITY, UT 84148-5880 US
Overview
Tegan Elizabeth Spangrude is a Student in the SALT LAKE CITY area. Tegan Elizabeth Spangrude primary office location is at 500 FOOTHILL DR and new patients are welcome to contact this healthcare provider for an appointment. The NPI number is 1164152997 and the information was updated approximately 1 year ago.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: YES
Participates in PECOS: NO
Contact Information
| License Number | State |
|---|---|
| 9415641-3102 | UT |
No Identifiers found
| Taxonomy | State | Primary? |
|---|---|---|
| Student - Taxonomy Code 390200000X | -- | Y |
| Registered Nurse - Taxonomy Code 163W00000X | UT | N |
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