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NPI Code Detail

MEDICARE: CHRIS SPENCE

MEDICARE: CHRIS SPENCE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1154527059
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRIS SPENCE
Provider Business Mailing Address
First Line : 718 STANSBURY DR
Second Line :
City : SANTA MARIA
State : CA
Zip : 93455-4736
Country : US
Telephone Number : 805-937-6270
Fax Number :
Provider Business Practice Location Address
First Line : 3840 ORCUTT GAREY RD
Second Line :
City : SANTA MARIA
State : CA
Zip : 93454-9629
Country : US
Telephone Number : 805-937-2826
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2007
Last Update Date : 07/08/2007

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Directions to “ CHRIS SPENCE ” Practice Location

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