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Individual

MATTHEW RYAN SPENLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
14200 W CELEBRATE LIFE WAY, GOODYEAR, AZ 85338-3007
(480) 666-7850
Mailing address
17584 TEDLER CIR, ROUND HILL, VA 20141-2167
(480) 686-4190

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
RN183431
AZ
367500000X
Certified Registered Nurse Anesthetist
Primary
127841
AZ

Other

Enumeration date
07/25/2019
Last updated
02/13/2022
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