Individual provider · Type 1 NPI

Dale A. Spence, PA-C

Medical Physician Assistant · Fort Carson, CO

NPI number 1750441440 Active

Practice location

Evans Army Comunity Hospital, Premier Medical Home
Fort Carson, CO 80913-4604

Call (719) 524-7601 Map

Fax (719) 524-3526

Mailing address

Evans Army Comunity Hospital (each) Usa, 1650 Cochrane Cir Attn Credentials Office
Fort Carson, CO 80913-4604

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA01722 (TX)
Medical Physician Assistant Primary 363AM0700X2430 (CO)

Medical Physician Assistant: Definition to come...

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About NPI 1750441440

Dale A. Spence, PA-C's National Provider Identifier is 1750441440, issued on Dec 11, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fort Carson, CO. The record was last updated on Jun 5, 2015.