Individual
DR. CHARLES THOMAS SPENCER III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2301 HOLMES ST, KANSAS CITY, MO 64108-2640
(314) 324-1724
Mailing address
2310 HOLMES ST STE 800, KANSAS CITY, MO 64108-2602
(816) 404-8188
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2016015085
MO
208D00000X
General Practice Physician
48869
AZ
208D00000X
General Practice Physician
A122189
CA
Other
Enumeration date
04/29/2011
Last updated
11/21/2019
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