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Individual
DR. SCOTT ALAN SPENCER
Active
Individual
DR. SCOTT ALAN SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36-00-2444-S
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0935322
—
OH
01
—
480017770
RR MEDICARE BFAC
OH
01
—
480031326
RAIL ROAD MEDICARE
OH
01
—
CH 5179
RR MEDICARE GROUP CFAC
OH
01
—
CI 5538
RR MEDICARE GROUP BFAC
OH
Enumeration date
06/22/2005
Last updated
02/28/2013
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