Individual
SPENCER MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
501 E PAWNEE ST, WICHITA, KS 67211-4944
(316) 267-4230
Mailing address
10800 E 21ST ST N, WICHITA, KS 67206-3542
(316) 636-4352
(316) 361-3513
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-15152
KS
Other
Enumeration date
08/28/2015
Last updated
11/17/2020
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