Individual
DR. SPENCER RICHARD AUGUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO, FAACAP
Contact information
Practice address
3201 C ST STE 606, ANCHORAGE, AK 99503-3971
(907) 258-7575
(907) 561-7464
Mailing address
PO BOX 241889, ANCHORAGE, AK 99524-1889
(907) 563-1777
(907) 561-7464
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
185478
AK
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
185478
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730692
—
AK
Enumeration date
06/29/2017
Last updated
09/10/2024
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