# DR. SPENCER L. BLACKMAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1205914884
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 042.0013274 | VT | Yes |
| 207Q00000X | Family Medicine Physician | 2020-04415 | NC | — |
| 207Q00000X | Family Medicine Physician | 254843 | MA | — |
| 207Q00000X | Family Medicine Physician | 296496 | NY | — |
| 207Q00000X | Family Medicine Physician | 84995 | GA | — |
| 207Q00000X | Family Medicine Physician | A88542 | CA | — |
| 207Q00000X | Family Medicine Physician | ME43528 | FL | — |
| 207Q00000X | Family Medicine Physician | V4643 | TX | — |

## Other

- **Enumeration date:** 11/01/2006
- **Last updated:** 08/18/2026