Individual
MS. JODI E. SPADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
600 W 12TH ST, IMPERIAL, NE 69033-3130
(308) 882-7299
(308) 882-7300
Mailing address
PO BOX 157, IMPERIAL, NE 69033-0157
(308) 882-7294
(308) 882-7300
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1211
NE
Other
Enumeration date
12/04/2006
Last updated
03/15/2008
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