Individual
JENNIFER LOU SPICER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMSC, PA-C
Contact information
Practice address
14200 W CELEBRATE LIFE WAY, GOODYEAR, AZ 85338-3007
(623) 207-3914
(623) 207-3799
Mailing address
14200 W CELEBRATE LIFE WAY, GOODYEAR, AZ 85338-3007
(623) 207-3914
(623) 207-3799
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
2873
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
807985
—
AZ
Enumeration date
06/01/2005
Last updated
01/05/2024
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