Individual
SONYA DENISE SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
38 PASS RD, STE.C, GULFPORT, MS 39507-3105
(228) 575-8660
(228) 575-8531
Mailing address
38 PASS RD, STE.C, GULFPORT, MS 39507-3105
(228) 575-8660
(228) 575-8531
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1000
MS
111N00000X
Chiropractor
7717
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z110953
MEDICARE PTAN
AZ
Enumeration date
07/17/2006
Last updated
10/21/2011
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