Individual
MACIE ROSE SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1415 WOODLAND AVE STE 140, DES MOINES, IA 50309-3203
(618) 409-7284
Mailing address
1415 WOODLAND AVE STE 140, DES MOINES, IA 50309-3203
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
R-13235
IA
Other
Enumeration date
06/10/2024
Last updated
06/10/2024
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