Individual
DOUGLAS RICHARD SPENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CERTIFIED TEACHER
Contact information
Practice address
2920 LEOPOLDO RD NW, ALBUQUERQUE, NM 87104-2728
(505) 767-5900
Mailing address
PO BOX 6151, ALBUQUERQUE, NM 87197-6151
(505) 344-4712
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
12/05/2019
Last updated
12/05/2019
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