Individual
MATTHEW SPICER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1051 HOGAN LN, CONWAY, AR 72034-9126
(501) 291-2629
Mailing address
1051 HOGAN LN, CONWAY, AR 72034-9126
(501) 291-2629
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
P1508085
AR
Other
Enumeration date
09/14/2015
Last updated
09/14/2015
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