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Organization
PATRICK L SPENCER DO, INC
Active
Organization
PATRICK L SPENCER DO, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK L SPENCER D.O. (OWNER)
(937) 226-7870
Entity
Organization
Contact information
Practice address
425 W GRAND AVE, STE 1002, DAYTON, OH 45405-4775
(937) 226-7870
(937) 226-7829
Mailing address
425 W GRAND AVE, STE 1002, DAYTON, OH 45405-4775
(937) 226-7870
(937) 226-7829
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2879470
—
OH
Enumeration date
05/18/2006
Last updated
01/11/2010
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