Individual
JOHN DANIEL SPENST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
607 CHERRY ST, SANTA ROSA, CA 95404-4202
(707) 235-3830
(707) 579-2641
Mailing address
607 CHERRY ST, SANTA ROSA, CA 95404-4202
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G49053
CA
Other
Enumeration date
08/30/2012
Last updated
08/30/2012
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