Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Spencer Evan Black, MD

Individual provider Pediatrics Physician · NPI 1053842914

Spencer Evan Black, MD is a Pediatrics Physician in Lehi, Utah. Practices as a sole proprietor. Licensed in Utah.

Licensed in
UT
In the registry since
2017
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2250 N Miller Campus Dr
Lehi, UT 84043-7233
Phone: (859) 313-7711
Fax: (385) 531-1805
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Child & Adolescent Psychiatry Physician (primary) Taxonomy 2084P0804X · Licence 12759564-8905 (UT)
Pediatrics Physician Taxonomy 208000000X · Licence 12759564-1205 (UT)
Psychiatry Physician Taxonomy 2084P0800X · Licence 12759564-1205 (UT)

Record details

NPI number1053842914
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 22, 2017
Last updated in NPPESFebruary 20, 2024
Certification dateFebruary 20, 2024

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