Individual
DR. SPENCER WOLVERTON
Active
Individual
DR. SPENCER WOLVERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
211D00000X
Podiatric Assistant
—
MA
213E00000X
Podiatrist
SC007601
PA
213ES0103X
Foot & Ankle Surgery Podiatrist
SC007601
PA
213ES0131X
Foot Surgery Podiatrist
Primary
SC007601
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
MA
Other
Enumeration date
04/05/2022
Last updated
07/14/2025
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