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Individual

CHRISTOPHER SPANKOVICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
AU.D., PH.D., M.P.H.

Contact information

Practice address
2500 NORTH STATE STREET, JACKSON, MS 39216-4500
(601) 984-4550
(601) 984-5085
Mailing address
2500 NORTH STATE STREET, JACKSON, MS 39216-4500
(601) 984-4550
(601) 984-5085

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
A3968
MS
231H00000X
Audiologist
AY1666
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
07585560
MS
Enumeration date
04/10/2015
Last updated
08/07/2015
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