NPI 1376005553 · live from the CMS NPI Registry
Spencer Walker Eberhard, DO
Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology in Salt Lake City, UT. National Provider Identifier 1376005553, active.
NPI record
| NPI | 1376005553 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology 2084N0402X |
| Practice location | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113 |
| Practice phone | 801-662-1000 |
| Mailing address | Po Box 27128, Salt Lake City, UT 84127 |
| Enumerated | April 4, 2019 |
| Last updated | March 9, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology primary | 2084N0402X | 14202962-1204 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.