Theresa Spruill, RPA-C

NPI #1104151612 in Suffern, New York

Provider Information

NPI Number: 1104151612
Entity Type: Individual
Name: Theresa Spruill, RPA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: RPA-C
Enumeration Date: Oct 16, 2009
Last Updated: Oct 16, 2009

Practice Location

Address: 255 LAFAYETTE AVE
City: Suffern
State: New York
ZIP Code: 10901-4812
Phone: (845) 368-5000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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