Individual
MR. DALE A SPENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
EVANS ARMY COMUNITY HOSPITAL, PREMIER MEDICAL HOME, FT CARSON, CO 80913-4604
(719) 524-7601
(719) 524-3526
Mailing address
EVANS ARMY COMUNITY HOSPITAL (EACH) USA, 1650 COCHRANE CIR ATTN CREDENTIALS OFFICE, FT CARSON, CO 80913-4604
(719) 526-7844
(719) 526-7984
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA01722
TX
363AM0700X
Medical Physician Assistant
Primary
2430
CO
Other
Enumeration date
12/11/2006
Last updated
06/05/2015
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