Individual
JUDY MARIE SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
400 FAIRVIEW HEIGHTS RD, SUMMERSVILLE, WV 26651-9308
(304) 872-8545
(304) 872-0675
Mailing address
400 FAIRVIEW HEIGHTS RD, SUMMERSVILLE, WV 26651-9308
(304) 872-8545
(304) 872-0675
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
778
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001771978
MS BCBS
WV
05
—
3810000489
—
WV
Enumeration date
12/14/2005
Last updated
08/28/2013
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