Most Relevant Information
Provider Data
| NPI Number: | 1003534868 |
| Provider Name: | ALYSSA SPENCER |
| Entity Type: | Individual |
| Taxonomy Code: | 2255A2300X |
| Specialty: | Specialist/Technologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/18/2022 |
| Last Updated: | 08/18/2022 |
Provider Practice Location
453 W 10TH AVE
COLUMBUS
OH
432102205
Practice Location Phone/Fax
| Phone: | 6142921706 |
| Fax: |
Provider Mailing Location
3864 NEW MILFORD RD
ROOTSTOWN
OH
442729670
Provider Mailing Phone/Fax
| Phone: | 6085726420 |
| Fax: |