Individual
MR. DARRELL SPEARS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
23 LAUREL HTS, MERIDEN, CT 06451-5424
(860) 856-1288
Mailing address
23 LAUREL HTS, MERIDEN, CT 06451-5424
(860) 856-1288
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
001842141
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001842141
600 890
CT
Enumeration date
07/31/2016
Last updated
07/31/2016
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