# ROBERT G. SPENCER MD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629161823
- **Authorized official:** ROBERT GORDON SPENCER MD (OWNER)
- **Authorized official phone:** (580) 623-2233

## Contact information

- **Practice address:** 203 N WEIGLE AVE, WATONGA, OK 73772-3840
- **Practice address phone:** (580) 623-2233
- **Practice address fax:** (580) 623-2232
- **Mailing address:** PO BOX 60, WATONGA, OK 73772-0060
- **Mailing address phone:** (580) 623-2233
- **Mailing address fax:** (580) 623-2232

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 23186 | OK | Yes |

## Other

- **Enumeration date:** 10/02/2006
- **Last updated:** 12/20/2011