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Individual
THOMAS S SPENCER
Active
Individual
THOMAS S SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
22329
OK
207V00000X
Obstetrics & Gynecology Physician
Primary
01053871A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000518052
ANTHEM BLUE CROSS
IN
05
—
200860120
—
IN
Enumeration date
03/31/2006
Last updated
07/07/2008
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