Individual
HALEY SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2902 E RACE AVE, SEARCY, AR 72143-4806
(501) 278-2800
Mailing address
138 FIELD CREST DR, SEARCY, AR 72143-8427
(703) 895-2548
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-967
AR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
262465795
—
AR
Enumeration date
02/14/2019
Last updated
03/29/2021
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