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Individual
JEFFREY CLARK SPENCER
Active
Individual
JEFFREY CLARK SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
35040551
OH
Other
Enumeration date
03/30/2006
Last updated
10/19/2007
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