Individual
SPENCER MILES MARSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2201 CLEAR CREEK RD, KILLEEN, TX 76549-4110
(503) 415-9580
Mailing address
700 LOST HUNTERS CYN, CHINA SPRING, TX 76633-3432
(503) 415-9580
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1090194
TX
363LF0000X
Family Nurse Practitioner
1090194
TX
Other
Enumeration date
08/18/2022
Last updated
10/10/2022
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