Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086S0105X | Surgery of the Hand | MD068309L | PA |
Y | 2086S0122X | Plastic and Reconstructive Surgery | MD068309L | PA |
NPI | 1750379624 |
---|---|
Provider Name | Julia A Spears |
First Address | Philadelphia, PA 19102-1121 |
Second Address | Philadelphia, PA 19107-1511 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/10/2005 |
Last Update Date | 02/02/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0018648570001 | (05) | PA |
H51427 | (02) |