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Jonathan Sprouse
NPI 1548953631 · on the registry since 2023
Practice
- Address
- 190 S Highway 165
Providence, UT 84332 - Phone
- (435) 755-3300
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-06-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah