Individual
DR. SPENCER STEPHEN SEBALLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(216) 245-9132
Mailing address
9500 EUCLID AVE # E19, CLEVELAND, OH 44195-0001
(216) 245-9132
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35.155137
OH
207P00000X
Emergency Medicine Physician
DR.0074817
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
029733
KAISER COMMERCIAL NUMBER
CO
05
—
9000220106
—
CO
Enumeration date
03/21/2022
Last updated
06/28/2026
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