Individual
DAVID LAMAR SPENCER SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2525 TELEPHONE RD, PASCAGOULA, MS 39567-3202
(228) 762-4483
(228) 769-0406
Mailing address
2525 TELEPHONE RD, PASCAGOULA, MS 39567-3202
(228) 762-4483
(228) 769-0406
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
Primary
09344
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00115807
—
MS
01
—
020041899
RAILROAD MEDICARE
—
Enumeration date
07/29/2006
Last updated
03/17/2015
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