Individual
JEANNE SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1086 FRANKLIN ST, JOHNSTOWN, PA 15905-4305
(814) 534-9106
(814) 534-3136
Mailing address
1086 FRANKLIN ST, JOHNSTOWN, PA 15905-4305
(814) 534-9106
(814) 534-3136
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD047441L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0013933970003
—
PA
Enumeration date
09/06/2005
Last updated
04/30/2013
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