SPENCER WALLER

PUEBLO, CO
NPI1033629241
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: CO  anp.0993430-NP)
Enumeration Date2017-10-03
Last Update Date2018-03-29
Business Address
Mr. SPENCER WALLER FNP
400 W 16TH ST
PUEBLO, CO 81003-2781
Phone number: 719-584-4306
Mailing Address
Mr. SPENCER WALLER FNP
400 W 16TH ST
PUEBLO, CO 81003-2781
Phone number: 719-584-4306
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