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Individual

DR. DONALD L SPICER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2603 KENTUCKY AVE, STE 102, PADUCAH, KY 42003-3815
(270) 442-3539
(270) 442-2051
Mailing address
2605 KENTUCKY AVE, SUITE 306, PADUCAH, KY 42003-3800
(270) 415-7653
(270) 575-8359

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
32040
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64320401
KY
Enumeration date
06/02/2005
Last updated
12/03/2020
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