Individual
DR. JASON BRADLEY SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1677 AMBER GROVE LN, COLLIERVILLE, TN 38017-2152
(901) 413-2133
Mailing address
1677 AMBER GROVE LN, COLLIERVILLE, TN 38017-2152
(901) 413-2133
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
47081
TN
207R00000X
Internal Medicine Physician
Primary
47081
TN
208M00000X
Hospitalist Physician
47081
TN
Other
Enumeration date
04/04/2008
Last updated
03/01/2023
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