Individual
ELIZABETH A SPENCERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1240 E INDEPENDENCE ST STE 100, SPRINGFIELD, MO 65804-4201
(417) 900-3407
(417) 889-0476
Mailing address
801 YORK ST, MANITOWOC, WI 54220-4630
(920) 663-9008
(920) 684-1439
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
113279
MO
207N00000X
Dermatology Physician
30619
KS
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
113279
MO
207ND0101X
MOHS-Micrographic Surgery Physician
30619
KS
Other
Enumeration date
08/02/2005
Last updated
03/06/2026
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