Spencer Blake Tebbe

NPI #1467128579 in Glendale, Colorado

Provider Information

NPI Number: 1467128579
Entity Type: Individual
Name: Spencer Blake Tebbe
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Aug 18, 2021
Last Updated: Aug 18, 2021

Practice Location

Address: 360 S COLORADO BLVD
City: Glendale
State: Colorado
ZIP Code: 80246-1205
Phone: (720) 258-8203

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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