Jennifer Lou Spicer in Goodyear - Surgical
Jennifer Lou Spicer - NPI 1386648632
Jennifer Lou Spicer is a Surgical in Goodyear, Arizona. Jennifer Lou Spicer practices all healthcare services and medical treatments related to Surgical. The NPI Number for Jennifer Lou Spicer is 1386648632. The last update date is 2016-03-29.
Jennifer Lou Spicer's current location address is 14200 W Celebrate Life Way, Goodyear, Arizona. You can contact this provider via phone number 6232073914 and fax number 6232073799. The mailing address for Jennifer Lou Spicer is 14200 W Celebrate Life Way, Goodyear, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer Lou Spicer |
|---|---|
| Address | 14200 W Celebrate Life Way, Goodyear, Arizona |
| Phone Number | 6232073914 |
| Fax Number | 6232073799 |
| Sole Proprietor | N |
| Credentials | P.A-C. |
NPI Number Detail
| NPI Number | 1386648632 |
|---|---|
| Provider Enumeration Date | 2005-06-01 |
| Last Updated Date | 2016-03-29 |
Provider Mailing Address Detail
| Address | 14200 W Celebrate Life Way |
|---|---|
| City | Goodyear |
| State | Arizona (AZ) |
| Post Code | 8533830070 |
| Phone Number | 6232073914 |
| Fax Number | 6232073799 |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | 2873 |
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Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 807985 | AZ | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Jennifer Lou Spicer by the Centers for Medicare & Medicaid Services (CMS)?
The Jennifer Lou Spicer has been assigned the NPI (National Provider Identifier) 1386648632. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Jennifer Lou Spicer is geographically located?
The Jennifer Lou Spicer is physically situated at the following location: 14200 W Celebrate Life Way, Goodyear, AZ, 8533830070.
What is Jennifer Lou Spicer's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jennifer Lou Spicer is Surgical, and the taxonomy code that classifies this field of practice is 363As0400X.
On what date did the Centers for Medicare & Medicaid Services assign the 1386648632 to Jennifer Lou Spicer?
The Centers for Medicare & Medicaid Services assigned the 1386648632 to Jennifer Lou Spicer on 2005-06-01.
When was the information regarding Jennifer Lou Spicer most recently updated?
The details pertaining to the Jennifer Lou Spicer, including its address, specialty, and other relevant information, were last refreshed on 2016-03-29.