# THOMAS E SPICER, MD-PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Thomas E Spicer MD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093998098
- **Authorized official:** CHERYL A PADILLA (OFFICE MANAGER)
- **Authorized official phone:** (307) 362-8211

## Contact information

- **Practice address:** 1208 HILLTOP DR, SUITE 103, ROCK SPRINGS, WY 82901-5857
- **Practice address phone:** (307) 362-8211
- **Mailing address:** 1208 HILLTOP DR, SUITE 103, ROCK SPRINGS, WY 82901-5857
- **Mailing address phone:** (307) 362-8211

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 2513A | WY | Yes |

## Other

- **Enumeration date:** 12/12/2007
- **Last updated:** 12/12/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1103963600 | — | WY |
| 01 | — | 302359 | BCBS PROVIDER NUMBER | WY |
| 01 | — | W308595 | MEDICARE GROUP NUMBER | WY |
| 01 | — | W308597 | MEDICARE PROVIDER NUMBER | WY |