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NPI Code Detail

MEDICARE: STACY LYNN SPITZER DO

MEDICARE: STACY LYNN SPITZER DO
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
1207R00000XInternal Medicine Physician0102210095VA

General Provider Information

NPI Number : 1184319014
Entity Type Code : Individual
Provider Name (Legal Business Name) : STACY LYNN SPITZER DO
Provider Business Mailing Address
First Line : 1201 BROAD ROCK BLVD
Second Line :
City : RICHMOND
State : VA
Zip : 23249-0002
Country : US
Telephone Number : 804-675-5000
Fax Number :
Provider Business Practice Location Address
First Line : 1201 BROAD ROCK BLVD
Second Line :
City : RICHMOND
State : VA
Zip : 23249-0002
Country : US
Telephone Number : 804-675-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2023
Last Update Date : 06/02/2026

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Directions to “ STACY LYNN SPITZER DO” Practice Location

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