Individual
DR. JOCELYN NICHOLE SPOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
500 W BROADWAY ST, SUITE 320, MISSOULA, MT 59802-4008
(406) 329-5615
(406) 329-2791
Mailing address
PO BOX 12, LIBERTY LAKE, WA 99019-0012
(406) 327-1918
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125053081
IL
207RC0000X
Cardiovascular Disease Physician
104945
MN
207RC0000X
Cardiovascular Disease Physician
Primary
53479
MN
Other
Enumeration date
05/18/2008
Last updated
04/06/2021
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