Individual
MR. JIMMY SPEARS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.-C
Contact information
Practice address
10825 W MCDOWELL RD., SUITE 100, AVONDALE, AZ 85392-8539
(844) 900-2567
Mailing address
PO BOX 41638, PHOENIX, AZ 85080-1638
(844) 900-2567
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA00199
TX
Other
Enumeration date
07/25/2011
Last updated
06/04/2021
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