Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0207X | Pediatric Hematology-Oncologist | OS13200 | FL |
NPI | 1245596303 |
---|---|
Provider Name | Allison Spencer Bechtel |
First Address | Jacksonville, FL 32207-8426 |
Second Address | Jacksonville, FL 32207-8426 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2012 |
Last Update Date | 23/04/2018 |