Individual
SPENCER DAYTON PACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1107 W POPLAR AVE, C/O FAMILY HEALTHCARE NETWORK, PORTERVILLE, CA 93257-5839
(559) 781-7242
(559) 793-3174
Mailing address
1107 W POPLAR AVE, C/O FAMILY HEALTHCARE NETWORK, PORTERVILLE, CA 93257-5839
(559) 781-7242
(559) 793-3574
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA23178
CA
Other
Enumeration date
11/02/2009
Last updated
08/06/2014
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