Provider Demographics
NPI:1477156214
Name:SCHMUTZ, SPENCER W (PA-C)
Entity Type:Individual
Prefix:MR
First Name:SPENCER
Middle Name:W
Last Name:SCHMUTZ
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1449 N 1400 W STE 19
Mailing Address - Street 2:
Mailing Address - City:ST GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84770-5237
Mailing Address - Country:US
Mailing Address - Phone:435-688-7572
Mailing Address - Fax:435-275-4939
Practice Address - Street 1:1449 N 1400 W STE 19
Practice Address - Street 2:
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84770-5237
Practice Address - Country:US
Practice Address - Phone:435-688-7572
Practice Address - Fax:435-275-4939
Is Sole Proprietor?:No
Enumeration Date:2020-11-16
Last Update Date:2022-05-10
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant