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Individual

DR. MARY C. SPICER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
5247 SHELBURNE RD., SUITE 204, SHELBURNE, VT 05482
(802) 985-3300
(802) 735-0454
Mailing address
5247 SHELBURNE RD., SUITE 204, SHELBURNE, VT 05482
(802) 985-3300
(802) 735-0454

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
006-0000899
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00018435
BLUE CROSS/BLUE SHIELD
VT
01
0002856
MEDICARE PTAN
VT
Enumeration date
10/27/2006
Last updated
02/07/2008
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