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Organization

SPENCER FOOT AND ANKLE CLINIC INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RICHARD BRUCE SPENCER DPM (PRESIDENT)
(641) 342-6054
Entity
Organization

Contact information

Practice address
1200 N 7TH ST, CHARITON, IA 50049-1210
(641) 774-8000
(641) 342-2292
Mailing address
110 E MCLANE ST, OSCEOLA, IA 50213-1457
(641) 342-6054
(641) 342-2292

Taxonomy

Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
00413
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4214171
IA
01
55877
WELLMARK BLUE CROSS BLUE
IA
Enumeration date
06/28/2007
Last updated
08/22/2020
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