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Jeffrey Lynn Spivey, PAC Valid NPI

Individual provider · Physician Assistant · Fort Hood, TX

NPI
1437190121
Type
Individual (Type 1)
Primary specialty
Physician Assistant
Specialty group
Physician Assistants & Advanced Practice Nursing Providers
Taxonomy code
363A00000X
License number
PA03365 (TX)
Sex
Male
Sole proprietor
No
Enumerated
2006-06-10
Last updated
2007-07-08
Practice location
36000 Darnall Loop, Dept Of Orthopeadic & Rehabilitation Services
Fort Hood, TX 76544
(254) 286-7973

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