JORDAN SPAKE

MOREHEAD CITY, NC
NPI1720679947
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NC  001011918)
Enumeration Date2021-01-30
Last Update Date2023-12-22
Business Address
JORDAN SPAKE PA
3714 GUARDIAN AVE STE E
MOREHEAD CITY, NC 28557-2975
Phone number: 910-332-3800
Mailing Address
JORDAN SPAKE PA
PO BOX 5105
BELFAST, ME 04915-5100
Phone number: 919-220-5255
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