Individual
DR. SPENCER JONATHAN GARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA, RN
Contact information
Practice address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Mailing address
28 LANSING LN, PALM COAST, FL 32137-9627
(386) 559-0108
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
117527
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
95001417
CA
Other
Enumeration date
01/04/2018
Last updated
02/15/2021
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