Individual
BRYCE ALLEN SPAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
503 N 21ST ST, CAMP HILL, PA 17011-2204
(717) 763-2100
Mailing address
2410 OAKWOOD HILLS DR APT 307, MECHANICSBURG, PA 17055-5917
(814) 659-1160
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
MA062667
PA
363AM0700X
Medical Physician Assistant
Primary
MA062667
PA
Other
Enumeration date
09/24/2021
Last updated
11/29/2024
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