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Individual

DR. WARREN SCOTT SPENCER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1948 1ST AVE NE, CEDAR RAPIDS, IA 52402-5321
(319) 364-0121
(319) 364-5684
Mailing address
1948 1ST AVE NE, CEDAR RAPIDS, IA 52402-5321
(319) 364-0121
(319) 364-5684

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
40113
IA
2085R0202X
Diagnostic Radiology Physician
R8296
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1043475247
IA
Enumeration date
07/28/2008
Last updated
12/21/2015
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