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Individual

JEFFREY WILLIAM SPANKO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
751 S BASCOM AVE, PODIATRY DEPT, SAN JOSE, CA 95128-2604
(408) 885-5930
Mailing address
751 S BASCOM AVE, SAN JOSE, CA 95128-2604
(408) 885-5000

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E2877
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000E28770
CA
Enumeration date
09/26/2006
Last updated
01/24/2008
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