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Organization
SUSAN J SPENCER, MD, INC
Active
Organization
SUSAN J SPENCER, MD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN J SPENCER M.D. (PRESIDENT)
(650) 344-3325
Entity
Organization
Contact information
Practice address
101 S SAN MATEO DR STE 112, SAN MATEO, CA 94401-3840
(650) 344-3325
(650) 344-7802
Mailing address
101 S SAN MATEO DR STE 112, SAN MATEO, CA 94401-3840
(650) 344-3325
(650) 344-7802
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G065695
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G656950
MEDI-CAL
CA
Enumeration date
05/13/2008
Last updated
08/27/2010
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