Individual
DR. SPENCER DAVID SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1005 BROADWAY ST, DEPARTMENT OF EMERGENCY MEDICINE, QUINCY, IL 62301-2834
(217) 223-8400
Mailing address
3428 GREENSPOINTE PKWY, QUINCY, IL 62301-6505
(769) 798-2958
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036125673
IL
Other
Enumeration date
07/05/2007
Last updated
08/20/2012
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