Individual
DR. WAYNE ELLSWORTH SPRUCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6160 MISSION GORGE RD, SUITE 400, SAN DIEGO, CA 92120-3410
(619) 528-4010
(619) 528-4077
Mailing address
2870 DOVE TAIL DR, SAN MARCOS, CA 92078-0933
(760) 290-3678
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
A24022
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A240220
—
CA
Enumeration date
11/01/2006
Last updated
07/13/2011
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