Individual
MR. JUSTIN ROSS SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
424 SAVANNAH RD, LEWES, DE 19958-1462
(302) 645-3336
(302) 645-0965
Mailing address
PO BOX 2178, HAZARD, KY 41702-2178
(606) 216-0741
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1139290
KY
Other
Enumeration date
06/17/2016
Last updated
06/17/2016
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