Most Relevant Information
Provider Data
| NPI Number: | 1003266370 |
| Provider Name: | JUSTIN ROSS SPENCER |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 1139290 |
Most Important Dates
| Enumeration Date: | 06/17/2016 |
| Last Updated: | 06/17/2016 |
Provider Practice Location
424 SAVANNAH RD
LEWES
DE
199581462
Practice Location Phone/Fax
| Phone: | 3026453336 |
| Fax: | 3026450965 |
Provider Mailing Location
PO BOX 2178
HAZARD
KY
417022178
Provider Mailing Phone/Fax
| Phone: | 6062160741 |
| Fax: |