Individual
BILL LARUE SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
18626 COUNTY ROAD 1550, ADA, OK 74820-3185
(580) 436-0187
Mailing address
18626 COUNTY ROAD 1550, ADA, OK 74820-3185
(580) 436-0187
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
23309
OK
Other
Enumeration date
12/08/2005
Last updated
07/29/2013
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