Individual
MR. DAVID A.H. SPENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
4178 HIGHBRIDGE RD, GEORGIA, VT 05454-5446
(802) 524-9595
Mailing address
4178 HIGHBRIDGE RD, FAIRFAX, VT 05454-5446
(802) 524-9595
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0550030604
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2000545
—
VT
Enumeration date
05/09/2006
Last updated
05/06/2008
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