Individual provider · Type 1 NPI

Spencer Walter Gale, PA-C

Medical Physician Assistant · Marietta, OH

NPI number 1780969360 Active

Practice location

400 Matthew St, Suite 401
Marietta, OH 45750-1644

Fax (740) 374-4974

Mailing address

PO Box 449
Marietta, OH 45750-0449

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X50.003955 (OH)
Medical Physician Assistant 363AM0700X01750 (WV)
Medical Physician Assistant 363AM0700X5052 (AZ)

Medical Physician Assistant: Definition to come...

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About NPI 1780969360

Spencer Walter Gale, PA-C's National Provider Identifier is 1780969360, issued on Oct 14, 2011. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Marietta, OH. The record was last updated on Feb 27, 2017.