Individual
SPENCER BRAZIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1125 N COLLEGE AVE, FAYETTEVILLE, AR 72703-1908
(501) 686-7000
Mailing address
1580 HIGHWAY 216, HOUSTON, AR 72070-8249
(501) 889-8481
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/29/2024
Last updated
07/29/2024
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