Individual
SPENCER JOHN REED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
2995 B ST APT 402, SAN DIEGO, CA 92102-2542
(714) 269-7278
Mailing address
2995 B ST APT 402, SAN DIEGO, CA 92102-2542
(714) 269-7278
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
1541409250
CA
Other
Enumeration date
09/18/2024
Last updated
09/18/2024
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