NPI 1285295154

Spencer Ciancola

Practitioner Physician Assistant Bennington, VT

Practice location

Address: 140 Hospital Dr STE 111, Bennington, VT 05201-5010
Phone: (802) 440-4077
Mailing address: 100 Hospital Dr, Bennington, VT 05201-5004

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 055.0031452 (VT)

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Registry record

NPI: 1285295154
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Jun 2019
Record last updated: 26 Dec 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.