Individual
JAMES BLAKE SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2525 GLENN HENDREN DR, LIBERTY, MO 64068-9625
(816) 781-7200
(816) 781-6973
Mailing address
PO BOX 219672, KANSAS CITY, MO 64121-9672
(816) 781-7730
(816) 781-6973
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
2010021700
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200018049
—
MO
Enumeration date
04/11/2008
Last updated
06/04/2020
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