i was impressed with Dr Spitzlers thoroughness on my initial visit and the front desk staff was very efficient with the new patient paperwork and getting me back to see the Dr quickly. the physicians assist. was very attentive and friendly. although the exam seemed to be over quickly i never felt rushed or uninformed about what was happening. at check out everything went smooth and my prescriptions were sent directly to my pharmacist and the follow up appointment was made. everyone was overall knowledgeable about their job and seemed happy to be there.