Individual
MR. SPENCER PATRICK FAYLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-S
Contact information
Practice address
4505 S MERIDIAN STE A, PUYALLUP, WA 98373-5002
(253) 697-5780
(253) 864-2972
Mailing address
608 39TH AVE SW APT J302, PUYALLUP, WA 98373-3660
(801) 706-8335
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PENDING
WA
Other
Enumeration date
08/12/2025
Last updated
08/12/2025
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