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Individual

SHAD ARTHUR SPOONER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1441 N 12TH ST FL 2, PHOENIX, AZ 85006-2837
(602) 521-5969
(602) 521-5987
Mailing address
1441 N 12TH ST FL 2, PHOENIX, AZ 85006-2837
(602) 521-5969
(602) 521-5987

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
04/18/2022
Last updated
04/18/2022
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