Individual
SPENCER BRADLEY WOTRING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4605 E ELWOOD ST STE 500, PHOENIX, AZ 85040-1978
(480) 256-1518
Mailing address
4605 E ELWOOD ST STE 500, PHOENIX, AZ 85040-1978
(480) 256-1518
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28245150A
IN
367500000X
Certified Registered Nurse Anesthetist
Primary
275585
AZ
Other
Enumeration date
04/14/2022
Last updated
06/07/2022
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