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Individual

DAVID J. SPACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
49 SPRING ST, SCARBOROUGH, ME 04074-8926
(207) 885-0011
Mailing address
190 RIVERSIDE ST, SUITE 6B, PORTLAND, ME 04103-1073
(207) 661-2000

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1479
ME

Other

Enumeration date
07/26/2014
Last updated
04/28/2017
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