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Individual

SPENCER JOHN DRENNAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
888 SWIFT BLVD, RICHLAND, WA 99352-3514
(509) 946-4611
Mailing address
623 W 150 N, MORGAN, UT 84050-6717

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA61202726
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1185969
NCCPA
Enumeration date
06/23/2021
Last updated
05/05/2022
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