# PATRICK L SPENCER DO, INC

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

## Provider details

- **NPI number:** 1922051168
- **Authorized official:** PATRICK L SPENCER D.O. (OWNER)
- **Authorized official phone:** (937) 226-7870

## Contact information

- **Practice address:** 425 W GRAND AVE, STE 1002, DAYTON, OH 45405-4775
- **Practice address phone:** (937) 226-7870
- **Practice address fax:** (937) 226-7829
- **Mailing address:** 425 W GRAND AVE, STE 1002, DAYTON, OH 45405-4775
- **Mailing address phone:** (937) 226-7870
- **Mailing address fax:** (937) 226-7829

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/18/2006
- **Last updated:** 01/11/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2879470 | — | OH |