Anthony Eugene Spruell in Yuma - Physician Assistant
Anthony Eugene Spruell - NPI 1417039991
Anthony Eugene Spruell is a Physician Assistant in Yuma, Arizona. Anthony Eugene Spruell practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Anthony Eugene Spruell is 1417039991. The last update date is 2008-06-23.
Anthony Eugene Spruell's current location address is 2400 S Avenue A, Yuma, Arizona. You can contact this provider via phone number 9283367100 and fax number 9283367508. The mailing address for Anthony Eugene Spruell is 2400 S Avenue A, Yuma, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Anthony Eugene Spruell |
|---|---|
| Address | 2400 S Avenue A, Yuma, Arizona |
| Phone Number | 9283367100 |
| Fax Number | 9283367508 |
| Sole Proprietor | Y |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1417039991 |
|---|---|
| Provider Enumeration Date | 2006-10-20 |
| Last Updated Date | 2008-06-23 |
Provider Mailing Address Detail
| Address | 2400 S Avenue A |
|---|---|
| City | Yuma |
| State | Arizona (AZ) |
| Post Code | 853647127 |
| Phone Number | 9283367100 |
| Fax Number | 9283367508 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 3509 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 160445 | AZ | -- |
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What is the Anthony Eugene Spruell's specialty and taxonomy code?
The Anthony Eugene Spruell's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
When was the Anthony Eugene Spruell's 1417039991 issued?
The Anthony Eugene Spruell's 1417039991 was issued on 2006-10-20.
On what date did the Centers for Medicare & Medicaid Services issue the 1417039991 to Anthony Eugene Spruell?
The Anthony Eugene Spruell received its 1417039991 assignment from the Centers for Medicare & Medicaid Services on 2006-10-20.
When was the Anthony Eugene Spruell's information last updated?
The Anthony Eugene Spruell's information was last updated on 2008-06-23.
When was the information pertaining to Anthony Eugene Spruell most recently updated or revised?
The details related to Anthony Eugene Spruell, including its address, specialty, and other relevant information, were last updated or revised on 2008-06-23.
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