Tracey Dianne Spoto
Technician, Pathology, Phlebotomy in Surprise, AZ. Individual provider (NPI-1).
NPI number1366106932
StatusActive
Last updated in NPPESOct 28, 2021
Details
- NPI
- 1366106932
- Entity type
- Individual (NPI-1)
- Name
- Tracey Dianne Spoto
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 28, 2021
- Certification date
- Oct 28, 2021
- Last updated
- Oct 28, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 246RP1900X | Technician, Pathology, Phlebotomy | – | AZ | Yes |
Practice location
14914 W Lisbon LnSurprise, AZ 85379-6103
Phone 623-628-0708 · Fax 623-777-8004
Mailing address
14914 W Lisbon LnSurprise, AZ 85379-6103
Phone 623-628-0708 · Fax 623-777-8004
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