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Jimmy Spears, CDCI

NPI 1669681599 · on the registry since 2007 · sole proprietor

Practice

Address
1027 Evergreen St
Fairbanks, AK 99709
Phone
(907) 451-8164
Organisation at this address
Fairbanks Native Association
Inferred from a shared address, not stated in the registry.
Clinicians at this address
15

Registry record

Primary taxonomy
3245S0500X
3245S0500X
Licence states on file
AK
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Alaska