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Individual
SPENCER WADE TOWNSEND
Active
Individual
SPENCER WADE TOWNSEND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
19181
CA
363A00000X
Physician Assistant
PA19181
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780889477
—
CA
01
—
CB323925
MEDICARE PTAN
CA
Enumeration date
06/20/2007
Last updated
10/17/2023
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