Individual
MRS. MARY L SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.A.
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
67.000138
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2946370
—
OH
Enumeration date
08/12/2008
Last updated
08/24/2020
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