Sean Paul Spare, IDC
NPI #1598488587 in Stennis Space Center, Mississippi
Provider Information
- NPI Number
- 1598488587
- Entity Type
- Individual
- Name
- Sean Paul Spare, IDC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Military Health Care Provider - Independent Duty Corpsman
- Credential
- IDC
- Enumeration Date
- Sep 23, 2022
- Last Updated
- Sep 23, 2022
Practice Location
- Address
- 2606 LOWER GAINESVILLE RD
- State
- Mississippi
- ZIP Code
- 39529-0001
- Phone
- (228) 813-4050
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider - Independent Duty Corpsman — Independent Duty Corpsman |
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