Individual
SALLY G SPECK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
225 W LANCASTER AVE, PAOLI, PA 19301-1767
(610) 648-1043
Mailing address
PO BOX 3012, WILMINGTON, DE 19804-0012
(800) 456-4629
(302) 224-2848
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD072304L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018626740003
—
PA
Enumeration date
02/03/2006
Last updated
07/08/2007
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