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SPENCER WOOD DAVIDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
KU HEALTH SYSTEM 4000 CAMBRIDGE STREET, KANSAS CITY, KS 66160-0001
(913) 588-1227
Mailing address
5314 W 71ST TER, PRAIRIE VILLAGE, KS 66208-2335
(417) 529-0069

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
2023040434
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
43-5579-79-121
KS

Other

Enumeration date
07/06/2022
Last updated
05/01/2025
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