Individual
BRADLEY SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12154 W LONE TREE TRL, PEORIA, AZ 85383-4405
(623) 692-7233
Mailing address
12154 W LONE TREE TRL, PEORIA, AZ 85383-4405
(623) 692-7233
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
318439
AZ
Other
Enumeration date
09/22/2025
Last updated
09/22/2025
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