Individual
JONATHAN WILLIAM SPENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
705 BATTLEFIELD BLVD N, CHESAPEAKE, VA 23320-4901
(757) 547-0688
Mailing address
1 U S COAST GUARD TRN CTR, YORKTOWN, VA 23690-5001
(757) 856-2565
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110003960
VA
Other
Enumeration date
10/05/2006
Last updated
04/18/2023
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