Individual
DR. BRIAN K SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4505 HOSPITAL ST STE A, PASCAGOULA, MS 39581-5302
(228) 762-1525
(228) 769-2635
Mailing address
4505 HOSPITAL ST STE A, PASCAGOULA, MS 39581-5302
(228) 762-1525
(228) 769-2635
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
526
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00087006
—
MS
Enumeration date
12/11/2006
Last updated
07/08/2007
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