Individual provider · Type 1 NPI
Spencer Alexander Daddario
Student in an Organized Health Care Education/Training Program · Stow, OH
NPI number
1609331388
Active
Practice location
2723 Serra Vista Dr
Stow, OH 44224-1615
Mailing address
Serra Vista Dr.
Stow, OH 44224
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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About NPI 1609331388
Spencer Alexander Daddario's National Provider Identifier is 1609331388, issued on Feb 6, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Stow, OH. The record was last updated on Feb 6, 2019.