Individual
MR. ELIOT SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA, MSN
Contact information
Practice address
8901 WISCONSIN AVE WRNMMC, BETHESDA, MD 20889-0001
(013) 295-4455
Mailing address
6955 COUNTRY CLUB TER, NEW MARKET, MD 21774-6717
(240) 772-0578
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
83256
SC
367500000X
Certified Registered Nurse Anesthetist
Primary
4390
SC
367500000X
Certified Registered Nurse Anesthetist
R210739
MD
Other
Enumeration date
02/05/2007
Last updated
07/03/2025
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