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Spencer Hoostal, MD
Student in an Organized Health Care Education/Training Program in San Diego, California
NPI 1912528837

Spencer Hoostal is a Student in an Organized Health Care Education/Training Program based in San Diego, CA. Spencer Hoostal practices in San Diego, CA and has the professional credentials of MD. The NPI Number for Spencer Hoostal is 1912528837 and holds a License No. (California).

The current practice location address for Spencer Hoostal is 4060 Fourth Ave Ste 505, San Diego, CA and can be reached out via phone at 619-298-1318.

Location: 4060 Fourth Ave Ste 505, San Diego, CA, 92103-2121
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912528837
Provider Name
Spencer Hoostal
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4060 Fourth Ave Ste 505, San Diego, CA, 92103-2121
Phone Number
619-298-1318
Fax Number
Provider Enumeration Date
05/01/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4060 Fourth Ave Ste 505
City
San Diego
State
California
Zip
92103-2121
Phone Number
619-298-1318
Fax Number
person
Provider Business Mailing Address Details
Address
4060 Fourth Ave Ste 505
City
San Diego
State
California
Zip
92103-2121
Phone Number
619-298-1318
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
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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