Individual
SPENCER CLAY STOCKARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1 WYOMING ST, DAYTON, OH 45409-2722
(937) 208-8000
Mailing address
4890 LUNSFORD MILL RD, HILTONS, VA 24258-6005
(276) 690-0936
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.008405RX
OH
Other
Enumeration date
09/22/2023
Last updated
09/22/2023
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