| Doctor Name: | MRS. MANDY MARIE SPENCER |
| NPI Number: | 1033481296 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PAC |
| License Number: | MA055361 |
| Business Practice Address: | 515 Main St Olean, NY - 14760 |
| Business Phone Number: | 7163757495 |
| Business Fax Number: | |
| Mailing Address: | 515 Main St, OLEAN |
| State: | NY |
| Postal Code: | 14760 |
| Phone Number: | 7163757495 |
| Fax Number: | |
| NPI Enumeration Date: | 02/03/2012 |
| NPI Last Update Date: | 06/24/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | MA055361 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |