Most Relevant Information
Provider Data
| NPI Number: | 1003301979 |
| Provider Name: | SPENCER PANKRATZ CNIM, R.EEG.T |
| Entity Type: | Individual |
| Taxonomy Code: | 246ZE0600X |
| Specialty: | Specialist/Technologist, Other |
| License Number: | 3187 |
Most Important Dates
| Enumeration Date: | 06/24/2018 |
| Last Updated: | 06/24/2018 |
Provider Practice Location
4600 S ULSTER ST STE 125
DENVER
CO
802372848
Practice Location Phone/Fax
| Phone: | 7202873093 |
| Fax: |
Provider Mailing Location
139 S 1200 E APT 1
SALT LAKE CITY
UT
841021652
Provider Mailing Phone/Fax
| Phone: | 4352418505 |
| Fax: |