Individual
JOHN R. SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CFA
Contact information
Practice address
1200 N BEAVER ST, FLAGSTAFF, AZ 86001-3118
(928) 779-3366
Mailing address
1401 N NAVAJO DR, FLAGSTAFF, AZ 86001-1205
(928) 226-8643
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
—
—
Other
Enumeration date
11/19/2008
Last updated
06/03/2009
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