MR. Walter Sutton Spence III, PA-C

NPI #1386048684 in Bradenton, Florida

Provider Information

NPI Number: 1386048684
Entity Type: Individual
Name: MR. Walter Sutton Spence III, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Oct 15, 2014
Last Updated: Oct 15, 2014

Practice Location

Address: 2020 59TH ST W
City: Bradenton
State: Florida
ZIP Code: 34209-4604
Phone: (941) 792-6611

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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