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Organization
WANDA J. SPENCER, M.D., A PROFESSIONAL CORPORATION
Active
Organization
WANDA J. SPENCER, M.D., A PROFESSIONAL CORPORATION
Active
Other names
d/b/a: Women Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WANDA J. SPENCER M.D. (PRESIDENT)
(805) 922-9600
Entity
Organization
Contact information
Practice address
801 E. CHAPEL ST., SUITE #2, SANTA MARIA, CA 93454-4607
(805) 922-9600
(805) 922-8892
Mailing address
801 E. CHAPEL ST., SUITE #2, SANTA MARIA, CA 93454-4607
(805) 922-9600
(805) 922-8892
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A42254
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A422540
—
CA
01
—
160013964
RAILROAD-MEDICARE
CA
01
—
ZZZ26462Z
BLUE SHIELD
CA
Enumeration date
10/30/2007
Last updated
12/20/2011
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