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Individual
JUSTIN PETER SPANGLER
Active
Individual
JUSTIN PETER SPANGLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
56456
CA
363A00000X
Physician Assistant
Primary
7975
AZ
363AM0700X
Medical Physician Assistant
025290
NY
363AM0700X
Medical Physician Assistant
PA2082
NV
Other
Enumeration date
01/04/2019
Last updated
05/27/2025
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