Individual
MR. ROBERT A SPICER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5225 W VERNAL PIKE, BLOOMINGTON, IN 47404-9661
(812) 336-7521
Mailing address
5225 W VERNAL PIKE, BLOOMINGTON, IN 47404-9661
(812) 336-7521
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MT20900603
IN
Other
Enumeration date
02/25/2011
Last updated
02/25/2011
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