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Individual

TIMOTHY D SPENCER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
78 MEDICAL CENTER DR, FISHERSVILLE, VA 22939-2332
(540) 932-4228
Mailing address
PO BOX 388, FISHERSVILLE, VA 22939-0388
(540) 932-4629
(540) 932-5875

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0101035310
VA

Other

Enumeration date
07/10/2009
Last updated
03/17/2010
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