Individual
MR. BILLY JOE SPEARS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
KRM
Contact information
Practice address
806 W LODI AVE, LODI, CA 95240-3302
(209) 712-7611
Mailing address
806 W LODI AVE, LODI, CA 95240-3302
(209) 712-7611
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/07/2011
Last updated
06/07/2011
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