Grady Spencer

NPI #1366835365 in Joint Base Lewis Mcchord, Washington

Provider Information

NPI Number: 1366835365
Entity Type: Individual
Name: Grady Spencer
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Mar 15, 2015
Last Updated: Mar 15, 2015

Practice Location

Address: 9040 FITZSIMMONS DR
City: Joint Base Lewis Mcchord
State: Washington
ZIP Code: 98431-1000
Phone: (253) 968-0369

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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