Individual
SPENCER BLAKE TEBBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
360 S COLORADO BLVD, GLENDALE, CO 80246-1205
(720) 258-8203
Mailing address
819 S DOWNING ST, DENVER, CO 80209-4435
(317) 966-1849
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0023667
CO
Other
Enumeration date
08/18/2021
Last updated
08/18/2021
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