MEDICARE: DR. WANDA CHRISTINE SPENCE PHD

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
1	246ZG1000X	Medical Geneticist (PhD) Specialist/Technologist

General Provider Information

NPI Number	:	1982675443
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WANDA CHRISTINE SPENCE PHD

Provider Business Mailing Address
First Line	:	138 TANGLEWOOD DR
Second Line	:
City	:	WEXFORD
State	:	PA
Zip	:	15090-8692
Country	:	US
Telephone Number	:	724-940-2599
Fax Number	:

Provider Business Practice Location Address
First Line	:	2515 LIBERTY AVE
Second Line	:	REDPATH INTEGRATED PATHOLOGY, INC
City	:	PITTSBURGH
State	:	PA
Zip	:	15222-4613
Country	:	US
Telephone Number	:	412-224-6650
Fax Number	:	412-224-6885

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/31/2006
Last Update Date	:	08/07/2009

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