Individual
SHANNON BARBARA SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6711 TOWPATH RD STE 175, EAST SYRACUSE, NY 13057-9212
(315) 671-8723
Mailing address
116 LEFT FIELD CRSE, MANLIUS, NY 13104-1931
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
320656
NY
390200000X
Student in an Organized Health Care Education/Training Program
275961
MA
Other
Enumeration date
06/25/2018
Last updated
07/10/2024
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