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Individual

BYRON R SPENCER JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
499 E HAMPDEN AVE, STE 360, ENGLEWOOD, CO 80113-2780
(303) 781-4485
Mailing address
P.O. BOX 17326, DENVER, CO 80217-7326

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
26743
NE
2084N0400X
Neurology Physician
34604
AZ
2084N0400X
Neurology Physician
Primary
DR.0049146
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
23873787
CO
01
COA105232
MEMORIAL HOSPITAL UPIN
CO
Enumeration date
12/05/2005
Last updated
10/04/2017
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